Louisiana Cardiovascular Associates Ampc Dba Louisiana Heart Associate

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LOUISIANA CARDIOVASCULAR ASSOCIATES AMPC DBA LOUISIANA HEART ASSOCIATE

Practice address

1801 Fairfield Ave Ste 105
Shreveport, LA 71101-4457

Phone

(318) 424-2192

Fax

(318) 424-2595

NPI assigned

Feb 6, 2007

Last updated

Jan 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gladys T Bush

Title

Clinic Manager

Phone

(318) 424-2192

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Stuart Louis Blum, MD

  • Cardiovascular Disease Physician
  • Shreveport, LA
  • NPI 1073509535

  Specialist

  NPD (past)
• John Calvin Hardin III, MD

  • Specialist
  • Shreveport, LA
  • NPI 1700872934
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1275672248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE STE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014457",
            "telephone_number": "318-424-2192",
            "fax_number": "318-424-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FAIRFIELD AVE STE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014457",
            "telephone_number": "318-424-2192",
            "fax_number": "318-424-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CARDIOVASCULAR ASSOCIATES AMPC DBA LOUISIANA HEART ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "318-424-2192"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1441414",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "CH5824",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.