Pediatric Cardiology of Louisiana, LLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC CARDIOLOGY OF LOUISIANA, LLC

Practice address

8200 Constantin Blvd Ste 200
Baton Rouge, LA 70809-3481

Phone

(225) 766-9292

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Michael S Crapanzano, MDNPI 1811996184

Title

Owner

Phone

(225) 766-9292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Sanders Crapanzano Sr., M.D.

  • Pediatric Cardiology Physician
  • Baton Rouge, LA
  • NPI 1811996184
  Medicare reassignment NPD Authorized official
• Khushboo Nilesh Parikh, MD

  • Pediatric Cardiology Physician
  • Jacksonville, FL
  • NPI 1154618619

  LA

  Medicare reassignment NPD
• Lisa A Spillers, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1144427527
  NPD (past)

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1043959216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137A QUAIL RUN STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084127",
            "telephone_number": "225-766-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CONSTANTIN BLVD STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093481",
            "telephone_number": "225-766-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "CRAPANZANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-766-9292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pecquet, FNP-C
• Scott Michael Pecue, DDS
• Pedaegis, LLC
• Tracy Peden, LPC
• Pediatric Cardiology Associates of Louisiana, Inc.
• Pediatric Center for Respiratory Medicine
• Pediatric Clinic
• Pediatric Eye Care Center LLC
• Pediatric Health Associates, L.L.C.
• Pediatric Hospitalists of Louisiana, LLC

• Pediatric Cardiology Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pediatric Cardiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.