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LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER APMC NPI 1689825499


NPI Information

NPI: 1689825499
Provider Name: LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization

CLIA Number: 19D1099576

Address:
4811 AMBASSADOR CAFFERY PARKWAY
SUITE 401A
LAFAYETTE, LA
ZIP 70508
Phone: (337) 456-6523
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LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC 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. LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC NPI is 1689825499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4811 AMBASSADOR CAFFERY PARKWAY
SUITE 401A
LAFAYETTE, LA
ZIP 70508
Phone: (337) 456-6523
Fax: (337) 456-6521

The provider's authorized official is Samuel David Abraham .
The authorized official title is Cfo and has the following contact phone number (337) 456-6525.

The CLIA number assigned to this NPI record is 19D1099576 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 7/9/2020.


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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD07649RLOUISIANANo
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
11376060MEDICAIDLOUISIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.