Thibodaux Regional Network Development Corporation
NPI 1003430257ActiveOrganization· Surgery, Plastic and Reconstructive Surgery· Thibodaux, LA
Surgery, Plastic and Reconstructive Surgery in Thibodaux, Louisiana, registered in NPPES in June 2020. The authorized official on file is Kim Legendre Boudreaux, Contract Manager.
Overview
| NPI | 1003430257 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 3, 2020 |
| Last updated in NPPES | Jun 2, 2025 |
| Certified by provider | Jun 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|