NPIMap

Organization Active NPI

Wayne J Pharo a Professional Medical Corporation

Doing business as The Heart Center of Lafourche

  • Specialist
  • Thibodaux, LA
National Provider Identifier
1245278670
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016262 Issued in LA
Legal business name
WAYNE J PHARO A PROFESSIONAL MEDICAL CORPORATION
Doing business as
The Heart Center of Lafourche
Practice address
400 N Acadia Rd
Thibodaux, LA 70301-4856
Phone
(985) 448-0649
Fax
(985) 448-0785
NPI assigned
Jun 4, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Dr. Wayne J Pharo, M.D.NPI 1144267378
Title
Owner
Phone
(985) 448-0649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 016262 LA Primary

Addresses

Primary practice location

400 N Acadia Rd
Thibodaux, LA 70301-4856

Mailing address

400 N Acadia Rd
Thibodaux, LA 70301-4856
Phone (985) 448-0649

Other identifiers 1

IdentifierTypeStateIssuer
1358614MedicaidLA

Other names 1

  • THE HEART CENTER OF LAFOURCHE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1245278670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014856",
            "telephone_number": "985-448-0649",
            "fax_number": "985-448-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014856",
            "telephone_number": "985-448-0649",
            "fax_number": "985-448-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE J PHARO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "PHARO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-448-0649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "016262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358614",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE HEART CENTER OF LAFOURCHE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.