Healthcare Provider Details

I. General information

NPI: 1427341908
Provider Name (Legal Business Name): SHIPS MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2011
Last Update Date: 05/03/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 ROBIN LANE
OPELOUSAS LA
70570
US

IV. Provider business mailing address

PO BOX 1609
OPELOUSAS LA
70571-1609
US

V. Phone/Fax

Practice location:
  • Phone: 337-942-2822
  • Fax: 337-942-5822
Mailing address:
  • Phone: 504-942-2822
  • Fax: 337-942-5822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: D. HUNTER PERRET
Title or Position: CEO
Credential:
Phone: 337-942-2822