Heart Lung and Vascular Clinic, LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

018916 Issued in LA

Legal business name

HEART LUNG AND VASCULAR CLINIC, LLC

Practice address

161 Christian Dr
Rayville, LA 71269-3658

Phone

(318) 329-1900

Fax

(318) 329-1901

NPI assigned

Mar 29, 2011

Last updated

Sep 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blaine McDermott BordersNPI 1326101254

Title

Owner

Phone

(318) 329-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Blaine McDermott Borders, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • West Monroe, LA
  • NPI 1326101254
  Medicare reassignment NPD Authorized official
• Valerie Butler Daniel, NP-C

  • Family Nurse Practitioner
  • Rayville, LA
  • NPI 1205187499
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1184913378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 SAINT ANDREWS RD",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712257931",
            "telephone_number": "318-329-1900",
            "fax_number": "318-329-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CHRISTIAN DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693658",
            "telephone_number": "318-329-1900",
            "fax_number": "318-329-1901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Thomas Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712915547",
            "country_code": "US",
            "telephone_number": "318-329-1900",
            "fax_number": "318-329-1901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEART LUNG AND VASCULAR CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_middle_name": "MCDERMOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-329-1900"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "018916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearley Grimes
• Guardian Health Clinic, LLC
• Jessica Hagan
• Carmel Haring
• Michelle Latessa Harrell Pippins
• Thomas Pipes Heath, RPH
• William Tyler Heath, D.M.D.
• Eric Hendrix, RSW
• Mary Catherine Hill, LMFT/LPC
• Shalynna Dell Honaker, WHNP-BC, MSN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Rayville, LA
• Providers in Rayville, LA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.