PEDIATRIC CLINIC OF ST MARY PARISH APMC
NPI 1679569560
Pediatrics in Morgan City, LA

Q: What is Pediatric Clinic Of St Mary Parish Apmc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 26, 2005CLIA 19D0459946 · Microscopy

1055 DAVID DR, MORGAN CITY, LA 70380(985) 384-2430(985) 384-2473 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pediatric Clinic Of St Mary Parish Apmc NPPES

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

PEDIATRIC CLINIC OF ST MARY PARISH APMC (NPI 1679569560) is a healthcare organization registered as a pediatrics in Morgan City, Louisiana and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Kimberly Thorguson, President, as its authorized official.

NPPES Registry Identity

NPI1679569560

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC CLINIC OF ST MARY PARISH APMC

Location Address1055 DAVID DRMorgan City, LA 70380-1300

Mailing Address1055 David DrMorgan City, LA 70380-1300 · (985) 384-2430 · Fax (985) 384-2473

Phone(985) 384-2430

Fax(985) 384-2473

Organization SubpartNo

Authorized OfficialKimberly ThorgusonPresident · (985) 384-2430

Enumeration DateSeptember 26, 2005

Last NPPES UpdateJuly 13, 2010

✔ NPI 1679569560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1055 DAVID DR, Morgan City, LA 70380

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Other Identifiers 1

Medicare ID-Type Unspecified1441341LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 19D0459946

Pediatric Clinic,the Of St Mary Parish · Morgan City, LA

Active · expires Dec 22, 2027

CLIA Number19D0459946

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorKimberly Thorguson

Laboratory Phone(985) 384-2430

Laboratory LocationPediatric Clinic,the Of St Mary Parish1055 David Drive, Morgan City, LA 70380

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

ALANA GAUTREAUX ANDRAS FNP-C

Nurse Practitioner (Family)