LEGACY MEDICAL GROUP
NPI 1396911558
Family Medicine in New Iberia, LA

Active since May 07, 2008
1100 ANDRE ST, SUITE 101, NEW IBERIA, LA 70563(337) 369-9309(337) 365-8455 Get Directions Write a Review

NPPES record last updated: May 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Medical Group NPPES

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

LEGACY MEDICAL GROUP (NPI 1396911558) is a healthcare organization registered as a family medicine in New Iberia, Louisiana and active in the NPI registry since May 2008. The organization lists Wayne D Thompson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1396911558
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC
Location Address1100 ANDRE ST, SUITE 101New Iberia, LA 70563-2159
Mailing AddressPo Box 11539New Iberia, LA 70562-1539 · (337) 369-3481 · Fax (337) 365-8455
Fax(337) 365-8455
Organization SubpartNo
Authorized OfficialWayne D ThompsonCfo · (985) 624-7401
Enumeration DateMay 7, 2008
Last NPPES UpdateMay 23, 2014
NPI 1396911558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X
1100 ANDRE ST, New Iberia, LA 70563

Other Names 1

Doing Business AsLegacy Medical Group

Other Identifiers 2

Medicare PIN5DE05LA
Medicaid1321583LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Cardiovascular Disease)
1100 ANDRE ST, SUITE 201
NEW IBERIA, LA 70563
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
NEW IBERIA, LA 70563
Clinic/Center (Ambulatory Surgical)
1100 ANDRE ST, STE 300
NEW IBERIA, LA 70563
Internal Medicine (Gastroenterology)
1100 ANDRE ST, STE 301
NEW IBERIA, LA 70563
Podiatrist (Foot & Ankle Surgery)
1100 ANDRE ST, SUITE 202
NEW IBERIA, LA 70563
Internal Medicine (Cardiovascular Disease)
1100 ANDRE ST, SUITE 205
NEW IBERIA, LA 70563
Clinic/Center (Sleep Disorder Diagnostic)
1100 ANDRE ST
NEW IBERIA, LA 70563
Anesthesiology
1100 ANDRE ST, SUITE 300
NEW IBERIA, LA 70563

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 Progressive Acute Care Physician Services Dauterive LLC's NPI number?

The NPI number for Progressive Acute Care Physician Services Dauterive LLC is 1396911558. It was assigned to this organization in the NPPES registry on May 7, 2008. The provider is doing business as Legacy Medical Group.

Where is Progressive Acute Care Physician Services Dauterive LLC located?

Progressive Acute Care Physician Services Dauterive LLC is located at 1100 Andre St Suite 101, New Iberia, LA 70563. The listed phone number is (337) 369-9309.

What is Progressive Acute Care Physician Services Dauterive LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Progressive Acute Care Physician Services Dauterive LLC was last updated on May 23, 2014. 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.