Active NPI
Fadi Abou-Issa, MD a Medical LLC
- Specialist
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11737R
- Legal business name
- FADI ABOU-ISSA, MD A MEDICAL LLC
- Practice address
- 8120 Main St
Suite 301
Houma, LA 70360-3403 - Phone
- (985) 851-6653
- NPI assigned
- Oct 27, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fadi Abou-Issa, MD
- Title
- Owner
- Phone
- (985) 851-6653
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11737R | LA | Primary |
Addresses
Primary practice location
8120 Main St
Suite 301
Houma, LA 70360-3403
Mailing address
8120 Main St
Suite 301
Houma, LA 70360-3403
Phone (985) 851-6653
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0915670 | Fadi F Abou-Issa MD | Certificate of waiver | Jul 11, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Specialist
- Houma, LA
- NPI 1184637084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356427959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 MAIN ST",
"address_2": "SUITE 301",
"city": "HOUMA",
"state": "LA",
"postal_code": "703603403",
"telephone_number": "985-851-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 MAIN ST",
"address_2": "SUITE 301",
"city": "HOUMA",
"state": "LA",
"postal_code": "703603403",
"telephone_number": "985-851-6653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FADI ABOU-ISSA, MD A MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABOU-ISSA",
"authorized_official_first_name": "FADI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-851-6653",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "11737R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.