NPIMap

Individual provider Active NPI

Corwin Ashford Thomas, D.O.

  • Cardiovascular Disease Physician
  • Lafayette, LA
National Provider Identifier
1013920362
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
14733R Issued in LA
Practice address
802 E Farrel Rd
Lafayette, LA 70508-7208
Phone
(337) 234-3163
Fax
(337) 234-3168
NPI assigned
Aug 15, 2006
Last updated
Jul 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 14733R LA Primary

Addresses

Primary practice location

802 E Farrel Rd
Lafayette, LA 70508-7208

Mailing address

802 E Farrel Rd
Lafayette, LA 70508-7208
Phone (337) 234-3163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000000 LA Practitioner - Cardiovascular Disease (Cardiology) 7315998986 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Glen D. Hurlston, M.D., ApmcGroup PAC ID 3779557541, 26 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
CLHG-LeesvilleGroup PAC ID 4082963301, 25 clinicians

Practice addresses (Care Compare)

1020 Fertitta Blvd
Leesville, LA 71446-4645

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

506 S 6TH St
Byrd Medical Clinic
Leesville, LA 71446-4482
Phone (337) 239-0989

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
14733RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Leesville CurrentSince Aug 24, 2023 Accepting new patients
Glen D. Hurlston, M.D., Apmc CurrentSince May 4, 2024 Accepting new patients
Louisiana Cardiovascular and Limb Salvage Center, Apmc CurrentSince May 23, 2022 Accepting new patients
Louisiana Cardiovascular Associates, LLC Cardiovascular Disease CurrentSince Sep 1, 2023 Accepting new patients
Southpark Surgery Center, LLC CurrentSince Jul 1, 2018 Accepting new patients
Cardiac Imaging Inc CurrentSince Aug 8, 2012 Accepting new patients
CLHG-Leesville CurrentSince Aug 24, 2023 Accepting new patients
Acadian Physician Practices LLC Past Accepting new patients
Kenneth L Entes MD Apmc Cardiovascular Disease Past Accepting new patients
Physicians Unity PastSince Apr 1, 2017 Accepting new patients

Locations

151 Hill St
Ste 1
Eunice, LA 70535
Phone (337) 457-8061

303 Rue Louis Xiv
Ste 104
Lafayette, LA 70508
Phone (337) 366-6004

901 Wilson St
Lafayette, LA 70503
Phone (337) 237-8119

901 Wilson St
Ste A
Lafayette, LA 70503
Phone (337) 534-0608

901 Wilson St
Ste B
Lafayette, LA 70503
Phone (337) 274-6549

901 Wilson St
Ste C
Lafayette, LA 70503
Phone (337) 372-2400

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

506 S 6th St
Leesville, LA 71446
Phone (337) 239-0989

Interoperability endpoints

  • Direct secure messaging: corwin.thomas.1@17837.direct.athenahealth.com
  • Direct secure messaging: corwin.thomas@4037.securemail.prognocis.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1013920362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E FARREL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087208",
            "telephone_number": "337-234-3163",
            "fax_number": "337-234-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E FARREL RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087208",
            "telephone_number": "337-234-3163",
            "fax_number": "337-234-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CORWIN",
        "middle_name": "ASHFORD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "14733R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.