NPIMap

Organization Active NPI

Louisiana Cardiovascular & Thoracic Institute, LLC

  • Specialist
  • Alexandria, LA
National Provider Identifier
1104984293
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LOUISIANA CARDIOVASCULAR & THORACIC INSTITUTE, LLC
Practice address
3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983
Phone
(318) 442-0106
Fax
(318) 448-8918
NPI assigned
Dec 4, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Dr. Gary P Jones, MDNPI 1164403382
Title
Managing Member
Phone
(318) 442-0106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983

Mailing address

3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983
Phone (318) 442-0106

Other names 1

  • LA CVT Institute Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131000670 LA Part B Supplier - Clinic/Group Practice 6103876701 Receives reassigned benefits from 7 practitioners
Practice locations: Alexandria, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1012898Louisiana Cardiovascular & Thoracic3311 Prescott Road, Suite 202, Alexandria, LA 71301Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Locations

3311 Prescott Rd
Ste 202
Alexandria, LA 71301
Phone (318) 442-0106

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1104984293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-442-0106",
            "fax_number": "318-448-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-442-0106",
            "fax_number": "318-448-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CARDIOVASCULAR & THORACIC INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "318-442-0106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA CVT Institute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LA CVT Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.