NPIMap

Organization Active NPI

Cardiovascular and Thoracic Surgeons of the South, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Covington, LA
National Provider Identifier
1215070503
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
9083R Issued in LA
Legal business name
CARDIOVASCULAR AND THORACIC SURGEONS OF THE SOUTH, LLC
Practice address
1431 Ochsner Blvd
Covington, LA 70433-8110
Phone
(985) 892-2950
Fax
(985) 892-2980
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. Randall Scott Juleff, MDNPI 1487615142
Title
Owner
Phone
(985) 373-7118

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
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 9083R LA Primary

Addresses

Primary practice location

1431 Ochsner Blvd
Covington, LA 70433-8110

Mailing address

1431 Ochsner Blvd
Covington, LA 70433-8110
Phone (985) 892-2950

Other identifiers 1

IdentifierTypeStateIssuer
1660043MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120906000466 LA Part B Supplier - Clinic/Group Practice 8527215003 Receives reassigned benefits from 6 practitioners
Practice locations: Mandeville, LA

National Provider Directory

National Provider Directory

Locations

1431 Ochsner Blvd
Ste B
Covington, LA 70433
Phone (985) 590-3488

4080 Lonesome Rd
Mandeville, LA 70448

4080 Lonesome Rd
Ste A
Mandeville, LA 70448
Phone (985) 892-2950

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1215070503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-892-2950",
            "fax_number": "985-892-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OCHSNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338110",
            "telephone_number": "985-892-2950",
            "fax_number": "985-892-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR AND THORACIC SURGEONS OF THE SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "JULEFF",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-373-7118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "9083R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660043",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.