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MISS EMILY RENEE THIBODAUX P.A.-C
NPI 1245666254
Physician Assistant - Surgical in Lafayette, LA

Active since September 23, 2013PECOS Enrolled
1103 KALISTE SALOOM RD, SUITE 206, LAFAYETTE, LA 70508(337) 267-1319(337) 267-1379 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Emily Renee Thibodaux P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS EMILY RENEE THIBODAUX P.A.-C (NPI 1245666254) is an individual surgical provider in Lafayette, Louisiana, licensed in (200652) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245666254
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMISS EMILY RENEE THIBODAUXCredential: P.A.-C
Location Address1103 KALISTE SALOOM RD, SUITE 206Lafayette, LA 70508-5783
Mailing Address1018 Highway 304Thibodaux, LA 70301-7331 · (985) 414-0724
Phone(337) 267-1319
Fax(337) 267-1379
Sole ProprietorNo
Enumeration DateSeptember 23, 2013
✔ NPI 1245666254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed · 200652
1103 KALISTE SALOOM RD, Lafayette, LA 70508
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Emily Renee Thibodaux P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLES L. PAPADAKES CRNA
Nurse Anesthetist, Certified Registered
1103 KALISTE SALOOM RD, SUITE 304
LAFAYETTE, LA 70508
Lafayette Parish (337) 988-5646
KEVIN KATHLEEN M MENARD PA
Physician Assistant
1103 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Lafayette Parish (337) 234-5234
STEVEN K STAIRES MD
Anesthesiology (Pain Medicine)
1103 KALISTE SALOOM RD, SUITE 208
LAFAYETTE, LA 70508
Lafayette Parish (337) 234-3757
DIANA FERNANDEZ, M.D. L.L.C.
Psychiatry & Neurology (Neurology)
1103 KALISTE SALOOM RD, SUITE 206
LAFAYETTE, LA 70508
Lafayette Parish (337) 984-5911
MR. JUDE L GUILLORY CRNA
Nurse Anesthetist, Certified Registered
1103 KALISTE SALOOM RD, SUITE 304
LAFAYETTE, LA 70508
Lafayette Parish (337) 988-5646
DAVID SCOTT MULDOWNY M.D.
Orthopaedic Surgery
1103 KALISTE SALOOM RD, SUITE 102
LAFAYETTE, LA 70508
Lafayette Parish (337) 234-5234
JUDD TANNER BROUSSARD CRNA
Nurse Anesthetist, Certified Registered
1103 KALISTE SALOOM RD, SUITE 304
LAFAYETTE, LA 70508
Lafayette Parish (337) 988-5646
EARRAINA REA KING PHARMD
Pharmacist
1103 KALISTE SALOOM RD
LAFAYETTE, LA 70508
Lafayette Parish (337) 988-4824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Thibodaux's NPI number?

The NPI number for Emily Thibodaux is 1245666254. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Where is Emily Thibodaux located?

Emily Thibodaux practices at 1103 Kaliste Saloom Rd Suite 206, Lafayette, LA 70508. The listed phone number is (337) 267-1319.

What is Emily Thibodaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Emily Thibodaux enrolled in Medicare?

Yes. Emily Thibodaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Thibodaux was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.