Alexandria Cardiology Clinic
Organization Active NPI Interventional Cardiology Physician · Alexandria, LA
NPI 1033142807 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1033142807
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- Legal business name
- ALEXANDRIA CARDIOLOGY CLINIC
- Practice address
- 501 Medical Center Dr
Suite 250
Alexandria, LA 71301-8124 - Phone
- (318) 473-4613
- Fax
- (318) 443-3400
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Parameswara Krishna Kaimal, M.D.
- Title
- President Senior Physician
- Phone
- (318) 473-4613
Member organizations 1
Practitioners 8
-
Brianna Denae Carter, FNP-C
-
Jessie Iles, FNP-C, PMHNP-BC
-
Naseem A Jaffrani, M.D.
-
Lisa Latel Lee, APRN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050210000255 | LA | Part B Supplier - Clinic/Group Practice | 1658322334 |
Receives reassigned benefits from 8 practitioners Practice locations: Oakdale, LA; Vidalia, LA; Marksville, LA; Alexandria, LA |
National Provider Directory
Locations
211 4th St
#30115
Alexandria, LA 71301
1605 7th St
Mamou, LA 70554
Phone (337) 468-4685
1607 7TH St
Mamou, LA 70554
Phone (337) 468-5699
457 W Waddil St
Ste B
Marksville, LA 71351
Phone (318) 473-4613
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician |
207RI0011X | Yes |
Addresses
Primary practice location
501 Medical Center Dr
Suite 250
Alexandria, LA 71301-8124
Mailing address
211 4TH St # 30115
Alexandria, LA 71301-8421
Phone (318) 473-4613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015977 | Medicaid | MS | |
| 1797065 | Medicaid | LA | |
| CN9331 | Other | LA | RAILROAD MEDICARE GROUP |
Other providers in Alexandria, LA
- Alexander Wellness Center, Inc.
- Kacey Alexander
- Precious Alexander
- Tina Alexander
- Alexandria Audiology Services & Discount Hearing AIDS, Inc.
- Alexandria Counseling, LLC
- Alexandria Dependency and Mental Health, LLC.
- Alexandria Endodontics, LLC
- Alexandria Ep, LLC
- Alexandria Eye and Laser Center, LLC
All providers in Alexandria, LA · Interventional Cardiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.