OrganizationActive
East Bayou Medical Supply
NPI 1912289224 · Clinic/Center · Lafayette, LA
East Bayou Medical Supply is a Clinic/Center organization in Lafayette, LA (NPI 1912289224).
Provider details
- NPI number
- 1912289224
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Fenn, Physician(337) 269-0136
- License
- MD200825 (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
204 Energy Pkwy
Suite B
Lafayette, LA 70508-3816
Phone: (337) 269-0136
Fax: (337) 233-8525
Street-level locationGet directions
Mailing address
204 Energy Pkwy
Lafayette, LA 70508-3816
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2011-09-13
Frequently asked questions
- What is East Bayou Medical Supply's NPI number?
- East Bayou Medical Supply's National Provider Identifier (NPI) is 1912289224, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Bayou Medical Supply?
- East Bayou Medical Supply is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is East Bayou Medical Supply located?
- East Bayou Medical Supply's practice location on file with NPPES is 204 Energy Pkwy, Lafayette, LA 70508-3816.
- What is East Bayou Medical Supply's phone number?
- The practice phone number listed in the NPPES registry for East Bayou Medical Supply is (337) 269-0136.
- Who is the authorized official for East Bayou Medical Supply?
- The authorized official listed on East Bayou Medical Supply's NPPES record is Paul Fenn, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Bayou Medical Supply's NPI active?
- Yes — East Bayou Medical Supply's NPI (1912289224) is active in the NPPES registry as of the last update on 2011-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.