Center for Restorative Breast Surgery LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

13291R Issued in LA

Legal business name

CENTER FOR RESTORATIVE BREAST SURGERY LLC

Practice address

1717 St Charles Ave
New Orleans, LA 70130

Phone

(504) 899-2800

Fax

(504) 620-3964

NPI assigned

Oct 1, 2007

Last updated

Apr 18, 2024By 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

Amy R Traub

Title

Finance Specialist

Phone

(504) 529-6679

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 29

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.

• David Shannon Cabiling, MD

  • Plastic and Reconstructive Surgery Physician
  • New Orleans, LA
  • NPI 1578761128
  Medicare reassignment Care Compare group NPD
• Ralph Larry Corsetti, M.D.

  • Surgery Physician
  • Covington, LA
  • NPI 1750341863
  Medicare reassignment Care Compare group NPD
• Frank Joseph Dellacroce, MD

  • Surgery Physician
  • New Orleans, LA
  • NPI 1306803416
  Medicare reassignment Care Compare group NPD
• William Karl Ordoyne Jr.

  • Surgery Physician
  • Covington, LA
  • NPI 1710988951
  Medicare reassignment Care Compare group NPD
• Christopher George Trahan, MD

  • Plastic and Reconstructive Surgery Physician
  • New Orleans, LA
  • NPI 1952514382
  Medicare reassignment Care Compare group NPD
• Sarosh Naz Zafar, MD

  • Plastic and Reconstructive Surgery Physician
  • New Orleans, LA
  • NPI 1972864676
  Medicare reassignment Care Compare group NPD
• Makayla Elizabeth Barber, PA-C

  • Physician Assistant
  • New Orleans, LA
  • NPI 1346083359
  Medicare reassignment Care Compare group
• Bailey Alexandra Castaneda, PA-C

  • Physician Assistant
  • New Orleans, LA
  • NPI 1710835830
  Medicare reassignment Care Compare group
• Julia Catherine Daigle, PA-C

  • Physician Assistant
  • New Orleans, LA
  • NPI 1255172664
  Medicare reassignment Care Compare group
• Jeanne Marie Flotte, PA

  • Physician Assistant
  • New Orleans, LA
  • NPI 1346643814
  Medicare reassignment Care Compare group
• Victoria Anne Harp, PA

  • Physician Assistant
  • New Orleans, LA
  • NPI 1831818426
  Medicare reassignment Care Compare group
• Kati Hayes, PA-C

  • Physician Assistant
  • New Orleans, LA
  • NPI 1720573389
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1407043755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8664",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70011",
            "telephone_number": "504-899-2800",
            "fax_number": "504-620-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ST CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70130",
            "telephone_number": "504-899-2800",
            "fax_number": "504-620-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RESTORATIVE BREAST SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2024-04-18",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "TRAUB",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FINANCE SPECIALIST",
        "authorized_official_telephone_number": "504-529-6679"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "021287",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "024972",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "LA",
            "license": "13291R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Central City
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• Central City Family Dentistry, Inc
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• Plastic and Reconstructive Surgery Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.