Organization Active NPI

Louis C. Blanda, Jr., MD, Apmc

  • Orthopaedic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1053503896
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
11186 Issued in LA
Legal business name
LOUIS C. BLANDA, JR., MD, APMC
Practice address
1103 Kaliste Saloom Road
Suite 100
Lafayette, LA 70508-2638
Phone
(337) 234-5234
Fax
(337) 235-2121
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Melinda L Arnold
Title
Inurance Supervisor
Phone
(337) 267-1359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 11186 LA Primary

Addresses

Primary practice location

1103 Kaliste Saloom Road
Suite 100
Lafayette, LA 70508-2638

Mailing address

1103 Kaliste Saloom Road
Suite 100
Lafayette, LA 70508-2638
Phone (337) 234-5234

Other identifiers 3

IdentifierTypeStateIssuer
1117579MedicaidLA
200000951OtherLARAILROAD
434602838BOtherLABLUE CROSS

National Provider Directory

National Provider Directory

Locations

202 Rue Iberville
Lafayette, LA 70508
Phone (337) 521-1000

1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 234-5234

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1053503896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM ROAD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082638",
            "telephone_number": "337-234-5234",
            "fax_number": "337-235-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM ROAD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705082638",
            "telephone_number": "337-234-5234",
            "fax_number": "337-235-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS C. BLANDA, JR., MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INURANCE SUPERVISOR",
        "authorized_official_telephone_number": "337-267-1359"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "11186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117579",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "200000951",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "434602838B",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.