Organization Active NPI

Cardiology Consultants of Louisiana a Professional Medical Corporatio

  • Cardiovascular Disease Physician
  • Franklinton, LA
National Provider Identifier
1114189016
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY CONSULTANTS OF LOUISIANA A PROFESSIONAL MEDICAL CORPORATIO
Practice address
1900 Main St
Franklinton, LA 70438-3688
Phone
(504) 454-4120
NPI assigned
Jul 1, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Benjamin F Jacobs III
Title
Partner
Phone
(504) 454-4120

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1900 Main St
Franklinton, LA 70438-3688

Mailing address

PO Box 7010
Metairie, LA 70010-7010
Phone (504) 454-4120

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1794457MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 1, 2008.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1114189016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7010",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700107010",
            "telephone_number": "504-454-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MAIN ST",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704383688",
            "telephone_number": "504-454-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY CONSULTANTS OF LOUISIANA A PROFESSIONAL MEDICAL CORPORATIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-454-4120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1794457",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.