Leesville Cardiovascular Center Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11538R Issued in LA

Legal business name

LEESVILLE CARDIOVASCULAR CENTER INC

Practice address

1101A Port Arthur Ter
Leesville, LA 71446-4635

Phone

(337) 392-2211

Fax

(337) 392-2210

NPI assigned

Mar 15, 2006

Last updated

Mar 16, 2010By 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

Mrs. Geetha M Mathew

Title

Director

Phone

(337) 392-2211

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJADAA

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.

• Jose Mathew, MD

  • Cardiovascular Disease Physician
  • Leesville, LA
  • NPI 1699744987
  Medicare reassignment NPD

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1194794867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101A PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464635",
            "telephone_number": "337-392-2211",
            "fax_number": "337-392-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101A PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464635",
            "telephone_number": "337-392-2211",
            "fax_number": "337-392-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEESVILLE CARDIOVASCULAR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "337-392-2211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "11538R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675024",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "DD4050",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lanham
• Latasha Lashawn Lassiter, MS, LPC
• Brooklynn Grace Ledet, FNP-C
• Hope Marie Lee
• Shelby Marie Lee
• Leesville Developmental Center (John C. Heard Community Home)
• Leesville Developmental Center (Boycher Community Home)
• Leesville Developmental Center (Ray Charles Smith Community Home)
• Leesville Developmental Center (Amanda Rock Community Home)
• Leesville Developmental Center

• Cardiovascular Disease Physician in Leesville, LA
• Providers in Leesville, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.