Crescent Surgical Group, L.L.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CRESCENT SURGICAL GROUP, L.L.C.

Practice address

120 Meadowcrest St
Suite 450
Gretna, LA 70056-5255

Phone

(504) 391-7660

Fax

(504) 393-2407

NPI assigned

Jan 15, 2007

Last updated

Nov 14, 2011By 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

Dr. Mark David Kappelman, M.D.NPI 1912091356

Title

Partner

Phone

(504) 391-7660

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mark David Kappelman, M.D.

  • Surgery Physician
  • Gretna, LA
  • NPI 1912091356
  Authorized official Same address or phone
• Kashaf Sherafgan, MD

  • Surgery Physician
  • Del Mar, CA
  • NPI 1730359779
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1447301627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MEADOWCREST ST",
            "address_2": "SUITE 450",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565255",
            "telephone_number": "504-391-7660",
            "fax_number": "504-393-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEADOWCREST ST",
            "address_2": "SUITE 450",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565255",
            "telephone_number": "504-391-7660",
            "fax_number": "504-393-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT SURGICAL GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "KAPPELMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-391-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS9735",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aimee H. Coulon, NP
• Kristen Couvillion Laughlin, PHARM.D.
• Ivy Elizabeth Crank
• Crescent City Dermatology, LLC
• Crescent City Endodontics
• Courtney Crockett
• Marcus Crosby
• Ashley Cross, LCSW
• Crossroads Louisiana, Inc.
• Jacqueline Crump

• Surgery Physician in Gretna, LA
• Providers in Gretna, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.