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SOUTHWEST MEDICAL CENTER SURGICAL GROUP LLC NPI 1689819898


NPI Information

NPI: 1689819898
Provider Name: SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC

Doing Business As: LOUISIANA HEART, LUNG & VASCULAR CENTER

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
4212 W CONGRESS ST
SUITE 3200
LAFAYETTE, LA
ZIP 70506
Phone: (337) 981-1695
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SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC is a thoracic surgery cardiothoracic vascular surgery in Lafayette, LA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC NPI is 1689819898. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Louisiana Heart, Lung & Vascular Center.

The provider's business location address is:

4212 W CONGRESS ST
SUITE 3200
LAFAYETTE, LA
ZIP 70506-765
Phone: (337) 981-1695

The provider's authorized official is Matthew Shane Olivier .
The authorized official title is Authorized Offical and has the following contact phone number (615) 373-7600.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 8/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16387230001MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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