David J Lourie MD Inc Wes J Powell MD Inc David R Martin MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DAVID J LOURIE MD INC WES J POWELL MD INC DAVID R MARTIN MD INC

Practice address

50 Bellefontaine St Ste 404
Pasadena, CA 91105-3132

Phone

(626) 449-0694

Fax

(626) 449-4607

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Kisacky

Title

Office Manager

Phone

(626) 449-0694

Specialties & licenses 1

Addresses

Other names 1

• Pasadena Laparoscopic Surgeons Doing business as

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1235336033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST STE 404",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-449-0694",
            "fax_number": "626-449-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BELLEFONTAINE ST STE 404",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053132",
            "telephone_number": "626-449-0694",
            "fax_number": "626-449-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J LOURIE MD INC WES J POWELL MD INC DAVID R MARTIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KISACKY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-449-0694",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Laparoscopic Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David a Girard a Medical Corporation
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• David J Lourie M D Inc
• David L. Antion, PH.D., a Professional Corporation
• David Marcus MD, Inc.
• David R Martin MD, Inc
• David R. Wyndhamsmith, a Professional Dental Corporation
• David R. Wyndhamsmith, a Professional Dental Corporation

• Surgery Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.