Louisiana Vascular Limb Salvage and Cardiology Apmc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LOUISIANA VASCULAR LIMB SALVAGE AND CARDIOLOGY APMC

Practice address

901 Wilson St
Lafayette, LA 70503-2439

Phone

(337) 456-6523

Fax

(337) 456-6521

NPI assigned

Feb 13, 2024

Last updated

Jun 4, 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

Vickie D Abraham

Title

VP Operations

Phone

(337) 456-6523

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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 E Allie, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lafayette, LA
  • NPI 1760489728
  Medicare reassignment Care Compare group NPD
• Brenda Proctor

  • Family Nurse Practitioner
  • Opelousas, LA
  • NPI 1790169928
  Medicare reassignment Care Compare group NPD
• Jose Antonio Silva, M.D.

  • Interventional Cardiology Physician
  • Slidell, LA
  • NPI 1790765394

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Cal Anthony Domingue, PA

  • Surgical Physician Assistant
  • Lafayette, LA
  • NPI 1437134707
  Medicare reassignment Care Compare group
• Patricia M Milford, NP

  • Gerontology Nurse Practitioner
  • Crowley, LA
  • NPI 1932751211
  Medicare reassignment NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1417712043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81427",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981427",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Oak Tree Park Dr # A",
            "address_purpose": "LOCATION",
            "city": "Sunset",
            "state": "LA",
            "postal_code": "705846135",
            "country_code": "US",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA VASCULAR LIMB SALVAGE AND CARDIOLOGY APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-01",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "337-456-6523"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Louisiana Telehealth Solutions, LLC
• Louisiana Urology Center
• Louisiana Wellness Partners, LLC (Industrial Health and Wellness)
• Lourdes After Hours LLC
• Lourdes Imaging Center LLC (Lourdes Imaging Network)
• Lourdes Imaging Center LLC (Lourdes Imaging Network)
• Lourdes Imaging Center LLC (Lourdes Imaging Network)

• Cardiovascular Disease Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.