Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay Philip Fakier, MD

Individual provider Diagnostic Radiology Physician · NPI 1730200866

Jay Philip Fakier, MD is a Diagnostic Radiology in Shreveport, Louisiana. Qualified in 2002, 24 years ago. Practices with Thibodaux Regional Network Development Corporation, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
24
Licensed in
LA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (985) 859-9669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 602 N Acadia Rd, Thibodaux, LA 70301-4847 — (985) 859-9669

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 201278 (LA)

Record details

NPI number1730200866
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Thibodaux Regional Network Development Corporation — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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