Louisiana Cardiac Vascular and Pulmonary Rehab LLC

Primary specialty

Cardiac Rehabilitation Registered NurseTaxonomy code 163WC3500X

Legal business name

LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC

Doing business as

Louisiana Cardiac Vascular and Pulmonary Rehab LLC

Practice address

2701 Johnston Street
Ste 100
Lafayette, LA 70503

Phone

(337) 261-2633

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Raghotham R Patiola, MD

Title

Ceo

Phone

(337) 261-2633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Louisiana Cardiac Vascular and Pulmonary Rehab LLC Doing business as

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574035200000",
    "number": "1023654712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 JOHNSTON STREET",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-261-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 JOHNSTON STREET",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-261-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CARDIAC VASCULAR AND PULMONARY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A",
        "authorized_official_last_name": "PATIOLA",
        "authorized_official_first_name": "RAGHOTHAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-261-2633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Cardiac Vascular and Pulmonary Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Nurse in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.