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CENTERWELL SENIOR PRIMARY CARE-OPELOUSAS
NPI 1407564628
Internal Medicine in Opelousas, LA

Active since November 07, 2022CLIA 19D2276713 · Waiver
1511 COMMERCE BLVD STE 6, OPELOUSAS, LA 70570(337) 381-2033(877) 258-1537 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2024, Aug 11, 2023, Nov 7, 2022 (3 updates tracked since 2022).

About Centerwell Senior Primary Care-opelousas NPPES

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

CENTERWELL SENIOR PRIMARY CARE-OPELOUSAS (NPI 1407564628) is a healthcare organization registered as an internal medicine in Opelousas, Louisiana and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1407564628
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTERWELL SENIOR PRIMARY CARE (LA) PC
Location Address1511 COMMERCE BLVD STE 6Opelousas, LA 70570-2063
Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000
Phone(337) 381-2033
Fax(877) 258-1537
Organization SubpartYes
Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120
Enumeration DateNovember 7, 2022
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1407564628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedGeneral PracticeTaxonomy 208D00000X
1511 COMMERCE BLVD STE 6, Opelousas, LA 70570
Open in Google Maps ↗

Other Names 1

Doing Business AsCenterwell Senior Primary Care-opelousas

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2276713

Centerwell Senior Primary Care-Opelousas · Opelousas, LA
Active · expires Feb 13, 2027
CLIA Number19D2276713
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorEarl Magee
Laboratory Phone(337) 243-5271
Laboratory LocationCenterwell Senior Primary Care-Opelousas1511 Commerce Blvd, Suite 6, Opelousas, LA 70570
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

TARAN TAYLOR PA-C
Physician Assistant
1511 COMMERCE BLVD STE 6
OPELOUSAS, LA 70570
St. Landry Parish (337) 381-2033
CHRISTOPHER J. FOTI M.D.
Family Medicine
1511 COMMERCE BLVD STE 6
OPELOUSAS, LA 70570
St. Landry Parish (337) 381-2033

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 Centerwell Senior Primary Care (la) PC's NPI number?

The NPI number for Centerwell Senior Primary Care (la) PC is 1407564628. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is doing business as Centerwell Senior Primary Care-Opelousas.

Where is Centerwell Senior Primary Care (la) PC located?

Centerwell Senior Primary Care (la) PC is located at 1511 Commerce Blvd Ste 6, Opelousas, LA 70570. The listed phone number is (337) 381-2033.

What is Centerwell Senior Primary Care (la) PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Centerwell Senior Primary Care (la) PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2276713) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerwell Senior Primary Care (la) PC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.