Organization Active NPI

West Bank Cardiology LLC

  • Cardiovascular Disease Physician
  • Plaquemine, LA
National Provider Identifier
1124225362
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
WEST BANK CARDIOLOGY LLC
Practice address
59335 River West Drive
Suites C&D
Plaquemine, LA 70764
Phone
(225) 685-1052
Fax
(225) 685-1081
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Joseph ValdezNPI 1023044815
Title
President
Phone
(225) 685-1052

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

59335 River West Drive
Suites C&D
Plaquemine, LA 70764

Mailing address

59335 River West Drive
Suites C&D
Plaquemine, LA 70764
Phone (225) 685-1052

Other identifiers 1

IdentifierTypeStateIssuer
1998915MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000376 LA Part B Supplier - Clinic/Group Practice 5991982845 Receives reassigned benefits from 1 practitioner
Practice locations: Plaquemine, LA; Morgan City, LA

National Provider Directory

National Provider Directory

Locations

59335 River West Dr
Ste Cd
Plaquemine, LA 70764
Phone (225) 685-1052

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1124225362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59335 RIVER WEST DRIVE",
            "address_2": "SUITES C&D",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-685-1052",
            "fax_number": "225-685-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59335 RIVER WEST DRIVE",
            "address_2": "SUITES C&D",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-685-1052",
            "fax_number": "225-685-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BANK CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-685-1052",
        "authorized_official_name_prefix": "Dr."
    },
    "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": "1998915",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.