Active NPI
Cong T Vo, M.D.
- Neonatal-Perinatal Medicine Physician
- Lafayette, LA
National Provider Identifier
1083677611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 15910
- Practice address
- 107 Montrose Avenue
Suite D
Lafayette, LA 70503 - Phone
- (337) 981-9316
- Fax
- (337) 981-8303
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 15910 | LA | Primary |
Addresses
Primary practice location
107 Montrose Avenue
Suite D
Lafayette, LA 70503
Mailing address
100 Asma Boulevard
Suite 385
Lafayette, LA 70508
Phone (337) 981-9316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321915 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15910 | LA | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1083677611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ASMA BOULEVARD",
"address_2": "SUITE 385",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70508",
"telephone_number": "337-981-9316",
"fax_number": "337-981-8303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MONTROSE AVENUE",
"address_2": "SUITE D",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-981-9316",
"fax_number": "337-981-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VO",
"first_name": "CONG",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "LA",
"license": "15910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1321915",
"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 Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.