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STEPHENS JOHNNY J MEMBER
NPI 1790773430
Family Medicine in Lafayette, LA

Active since October 06, 2005
850 N PIERCE STREET, SUITE D, LAFAYETTE, LA 70501(337) 233-2115(337) 237-9075 Get Directions Write a Review

NPPES record last updated: October 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephens Johnny J Member NPPES

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

STEPHENS JOHNNY J MEMBER (NPI 1790773430) is a healthcare organization registered as a family medicine in Lafayette, Louisiana and active in the NPI registry since October 2005. The organization lists James Mwakitawa Mwatibo, Partner/md, as its authorized official.

NPPES Registry Identity

NPI1790773430
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIDE PLAZA MEDICAL LLC
Location Address850 N PIERCE STREET, SUITE DLafayette, LA 70501-2848
Mailing Address850 N Pierce Street, Suite DLafayette, LA 70501-2848 · (337) 233-2115 · Fax (337) 237-9075
Phone(337) 233-2115
Fax(337) 237-9075
Organization SubpartNo
Authorized OfficialJames Mwakitawa MwatiboPartner/md · (337) 233-2115
Enumeration DateOctober 6, 2005
Last NPPES UpdateOctober 7, 2010
✔ NPI 1790773430 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 ListedInternal MedicineTaxonomy 207R00000X
850 N PIERCE STREET, Lafayette, LA 70501
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Other Names 1

Doing Business AsStephens Johnny J Member

Other Identifiers 3

Medicare PINCK4908LA
Medicaid1443522LA
Medicare UPIN5CC68LA

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

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 Pride Plaza Medical LLC's NPI number?

The NPI number for Pride Plaza Medical LLC is 1790773430. It was assigned to this organization in the NPPES registry on October 6, 2005. The provider is doing business as Stephens Johnny J Member.

Where is Pride Plaza Medical LLC located?

Pride Plaza Medical LLC is located at 850 N Pierce Street Suite D, Lafayette, LA 70501. The listed phone number is (337) 233-2115.

What is Pride Plaza Medical 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 Pride Plaza Medical LLC was last updated on October 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.