Active NPI
Lafayette Heart Clinic, LLC
- Cardiovascular Disease Physician
- Lafayette, LA
National Provider Identifier
1023225356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- LAFAYETTE HEART CLINIC, LLC
- Practice address
- 5000 Ambassador Caffery Pkwy
Province Building 1
Lafayette, LA 70508 - Phone
- (337) 261-0928
- Fax
- (337) 233-7773
- NPI assigned
- May 17, 2007
- Last updated
- Sep 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher T Mallavarapa, MD
- Title
- MD/Owner
- Phone
- (337) 261-0928
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary | |
| Nuclear Cardiology Physician | 207UN0901X | NU |
Addresses
Primary practice location
5000 Ambassador Caffery Pkwy
Province Building 1
Lafayette, LA 70508
Mailing address
5000 Ambassador Caffery Pkwy
Province, Building 1
Lafayette, LA 70508
Phone (337) 261-0928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1448460 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neurological Surgery Physician
- Lafayette, LA
- NPI 1306891320
-
- Cardiovascular Disease Physician
- Lafayette, LA
- NPI 1356344428
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1427282284
-
- Interventional Cardiology Physician
- Lafayette, LA
- NPI 1487862702
Cardiovascular Disease
-
- Clinical Nurse Specialist
- Lafayette, LA
- NPI 1144223207
-
- Physician Assistant
- Lafayette, LA
- NPI 1356376065
-
- Cardiovascular Disease Physician
- Olean, NY
- NPI 1649273715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378944000000",
"number": "1023225356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 AMBASSADOR CAFFERY PKWY",
"address_2": "PROVINCE, BUILDING 1",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "337-261-0928",
"fax_number": "337-233-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 AMBASSADOR CAFFERY PKWY",
"address_2": "PROVINCE BUILDING 1",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "337-261-0928",
"fax_number": "337-233-7773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAFAYETTE HEART CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2013-09-12",
"status": "A",
"authorized_official_last_name": "MALLAVARAPA",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "337-261-0928",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1448460",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
- Lafayette Health Ventures, Inc. (Karen Smith, MD)
- Lafayette Health Ventures, Inc. (Dr. Diana Fernandez)
- Lafayette Health Ventures, Inc. (Orthotic Center)
- Lafayette Health Ventures, Inc. (Hospitalist Services)
- Lafayette Health Ventures. Inc (OB-GYN Clinic)
- Lafayette Heart Hospital LLC
- Lafayette Integrative Medicine LLC
- Lafayette Intensive Outpatient, LLC
- Lafayette Internal Medicine Clinic LLC
- Lafayette la Opco LLC (Maison de Lafayette of LA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.