Healthcare Provider Details
I. General information
NPI: 1235333725
Provider Name (Legal Business Name): MAY SCOTT THOMASSEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/11/2007
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2390 W CONGRESS ST
LAFAYETTE LA
70506
US
IV. Provider business mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US
V. Phone/Fax
- Phone: 337-261-6584
- Fax: 337-261-6585
- Phone: 337-470-7801
- Fax: 225-765-9196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 207689 |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | MD.207689 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: