Organization Active NPI

Shirin Sabbaghian a.P.M.C.

  • Surgery Physician
  • Crowley, LA
National Provider Identifier
1255729604
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.206452 Issued in LA
Legal business name
SHIRIN SABBAGHIAN A.P.M.C.
Practice address
1307 Crowley Rayne Hwy
Suite D
Crowley, LA 70526-8210
Phone
(337) 783-3624
Fax
(337) 783-4265
NPI assigned
Jan 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Dr. Shirin Sabbaghian, M.D.
Title
Owner
Phone
(337) 783-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD.206452 LA Primary

Addresses

Primary practice location

1307 Crowley Rayne Hwy
Suite D
Crowley, LA 70526-8210

Mailing address

1307 Crowley Rayne Hwy
Suite D
Crowley, LA 70526-8210
Phone (337) 783-3624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150422001600 LA Part B Supplier - Clinic/Group Practice 4183942188 Receives reassigned benefits from 1 practitioner
Practice locations: Crowley, LA

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.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1255729604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 CROWLEY RAYNE HWY",
            "address_2": "SUITE D",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268210",
            "telephone_number": "337-783-3624",
            "fax_number": "337-783-4265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 CROWLEY RAYNE HWY",
            "address_2": "SUITE D",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705268210",
            "telephone_number": "337-783-3624",
            "fax_number": "337-783-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRIN SABBAGHIAN A.P.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SABBAGHIAN",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-783-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.206452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.