LEGACY MEDICAL GROUP – NPI #1396911558
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

LEGACY MEDICAL GROUP is a provider located in NEW IBERIA, LA. NPPES has assigned the NPI number 1396911558 to LEGACY MEDICAL GROUP on May 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LEGACY MEDICAL GROUP” is a dba name, the actual legal business name for this organization is PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on May 23, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY MEDICAL GROUP below.

NPI Profile for
PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC

NPI Number
1396911558
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC
Doing Business As (dba): LEGACY MEDICAL GROUP
Primary location
1100 ANDRE ST
SUITE 101
NEW IBERIA, LA 70563-2159
Phone: (337) 369-9309 Fax: (337) 365-8455
Mailing address
PO BOX 11539
NEW IBERIA, LA 70562-1539
Phone: (337) 369-3481 Fax: (337) 365-8455
Organization Subpart
No
Authorized Official
WAYNE THOMPSON
CFO
Phone: (985) 624-7401
Updated
Identifiers

Identifiers for LEGACY MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1321583
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208600000X
- Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.