Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1689334799 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1689334799","entity_type_code":"2"} |
| pac_id | 8628465390 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1689334799","rule":"D-PECOS","enrlmt_id":"O20220427001570","pecos_asct_cntl_id":"8628465390"} |
| pecos_enrlmt_id | O20220427001570 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1689334799","rule":"D-PECOS","enrlmt_id":"O20220427001570"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | DOUGLAS B BOULWARE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0446161152","source_pk":220350,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | KATIE B WALKER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":8.33} evidence: {"rule":"D-OWNER","owner_pac":"0446384366","source_pk":220351,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 0648789701 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0648789701","source_pk":220354,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 0749799898 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0749799898","source_pk":220355,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | THOMAS C BOULWARE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":8.33} evidence: {"rule":"D-OWNER","owner_pac":"1355475278","source_pk":220356,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 1658880703 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1658880703","source_pk":220359,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 2567971617 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2567971617","source_pk":220360,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 3274042338 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3274042338","source_pk":220361,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 3375052434 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3375052434","source_pk":220362,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 3476062522 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476062522","source_pk":220363,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | PRIORITY MANAGEMENT GROUP, LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"43","association_date":"01/01/2022","percentage_ownership":100} evidence: {"rule":"D-OWNER","owner_pac":"3476835273","source_pk":220364,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":100,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | SEAN JOHNSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5092224154","source_pk":220366,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | STEVEN D BOULWARE | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2022","percentage_ownership":33.33} evidence: {"rule":"D-OWNER","owner_pac":"5991839813","source_pk":220367,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | PARKER C BAUDER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":8.33} evidence: {"rule":"D-OWNER","owner_pac":"6103219217","source_pk":220374,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | BOULWARE ST JAMES LLC (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2022","percentage_ownership":33.34} evidence: {"rule":"D-OWNER","owner_pac":"6204086275","source_pk":220377,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.34,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | TERRA GRUBB | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"02/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6901315068","source_pk":220380,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | DAVID REED (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"04/18/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7416179056","source_pk":220381,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | KELLY P BAUDER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":8.33} evidence: {"rule":"D-OWNER","owner_pac":"7618153842","source_pk":220382,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | PROGRESSIVE REHAB SOLUTIONS, LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7618492497","source_pk":220385,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 7810406972 | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"01/01/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7810406972","source_pk":220386,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | MADISON R BAUDER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":8.33} evidence: {"rule":"D-OWNER","owner_pac":"8820481930","source_pk":220387,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | WILLIAM M BAUDER | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"35","association_date":"01/01/2022","percentage_ownership":8.33} evidence: {"rule":"D-OWNER","owner_pac":"9436335668","source_pk":220390,"type_owner":"I","enrollment_id":"O20220427001570","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":8.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | OWNER PAC 9830608983 (LA) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"72","association_date":"05/27/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9830608983","source_pk":220395,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
| ← owns | BAUDER FAMILY INVESTMENTS, LLC (TX) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"34","association_date":"01/01/2022","percentage_ownership":33.33} evidence: {"rule":"D-OWNER","owner_pac":"9931592045","source_pk":220396,"type_owner":"O","enrollment_id":"O20220427001570","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":33.33,"enrollment_organization_name":"PMG OPCO-LAFAYETTE LLC"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1689334799 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| enumeration_date | 2021-12-30 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | PMG OPCO-LAFAYETTE LLC | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | LA | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1689334799: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…