Cardiovascular Specialty Care Center ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CARDIOVASCULAR SPECIALTY CARE CENTER ASC LLC

Practice address

71070 Highway 21
Covington, LA 70433-7160

Phone

(225) 767-9878

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Martin Fischer

Title

Chief Executive Officer

Phone

(225) 214-9669

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Listed as

Cardiovascular Specialty Care Center ASC LLCCCN 19C0001144

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank J Arena, M.D.

  • Interventional Cardiology Physician
  • Covington, LA
  • NPI 1689671232
  Medicare reassignment NPD
• Marc Bernstein, M.D.

  • Cardiovascular Disease Physician
  • Slidell, LA
  • NPI 1851333587
  Medicare reassignment NPD
• Larry G Ferachi Jr., M.D.

  • Cardiovascular Disease Physician
  • Slidell, LA
  • NPI 1881958262
  Medicare reassignment NPD
• Bruce J Iteld, MD,FACC,FCCP,FSCAI

  • Specialist
  • Slidell, LA
  • NPI 1588600894
  Medicare reassignment NPD
• Pramod Vijayagopal Menon, M.D.

  • Interventional Cardiology Physician
  • Covington, LA
  • NPI 1588620611
  Medicare reassignment NPD
• Ghiath M Mikdadi, M.D.

  • Cardiovascular Disease Physician
  • Hammond, LA
  • NPI 1881696078
  Medicare reassignment NPD
• Dale A Presser III, M.D.

  • Cardiovascular Disease Physician
  • Covington, LA
  • NPI 1922062512
  Medicare reassignment NPD
• Frank Voelker III, MD

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1316928260
  Medicare reassignment NPD
• Farid Faraj Zayed, M.D.

  • Cardiovascular Disease Physician
  • Alma, MI
  • NPI 1417913690

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1164095857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 QUAIL RUN STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089063",
            "telephone_number": "225-214-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71070 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337160",
            "telephone_number": "225-767-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALTY CARE CENTER ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "225-214-9669"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "endpoint.cvsccasc.com",
            "affiliation": "N",
            "address_1": "71070 Highway 21",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704337160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emilio Rafael Cardenal, DO
• Cardiovascular and Thoracic Surgeons of the South, LLC
• Cardiovascular and Thoracic Surgical Specialists LLC
• Cardiovascular Associates, LLC.
• Cardiovascular Clinic of Covington, LLC
• Cardiovascular Specialty Care Center of Covington, LLC
• Cardiovascular Specialty Cath Center of Covington, LLC
• Amy Carey, RDN, LDN
• James E. Carinder, DO
• Carlito P Ilawan DDS Covington Inc

• Ambulatory Surgical Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Ambulatory Surgical Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.