Organization Active NPI

Cardiovascular Specialties of Louisiana LLC

  • Vascular Surgery Physician
  • Alexandria, LA
National Provider Identifier
1275159790
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC
Practice address
3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984
Phone
(318) 528-1998
NPI assigned
Jun 20, 2020
Last updated
Jun 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Authorized official

Name
Julie Defeo
Title
Admin Assist
Phone
(318) 447-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984

Mailing address

3311 Prescott Rd Ste 312
Alexandria, LA 71301-3984
Phone (318) 528-1998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1275159790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 312",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013984",
            "telephone_number": "318-528-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 312",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013984",
            "telephone_number": "318-528-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALTIES OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "DEFEO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ADMIN ASSIST",
        "authorized_official_telephone_number": "318-447-1075"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.