Organization Active NPI

Cypress Medical Solutions LLC

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1447904479
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CYPRESS MEDICAL SOLUTIONS LLC
Practice address
435 Corporate Dr Ste 301
Houma, LA 70360-2498
Phone
(985) 855-0945
NPI assigned
Feb 8, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Craig Wade, MDNPI 1235422239
Title
Owner
Phone
(985) 381-3811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Nurse Practitioner 363L00000X

Addresses

Primary practice location

435 Corporate Dr Ste 301
Houma, LA 70360-2498

Mailing address

435 Corporate Dr Ste 301
Houma, LA 70360-2498
Phone (985) 855-0945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220422000005 LA Part B Supplier - Clinic/Group Practice 0042607095 Receives reassigned benefits from 3 practitioners
Practice locations: Houma, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2335101Cypress Medical Solutions435 Corporate Dr Suite 302, Houma, LA 70360Certificate of waiverDec 4, 2027

National Provider Directory

National Provider Directory

Locations

1011 Verret St
Houma, LA 70360
Phone (985) 293-2300

435 Corporate Dr
Ste 301
Houma, LA 70360
Phone (985) 381-3811

435 Corporate Dr
Ste 302
Houma, LA 70360
Phone (985) 226-1359

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1447904479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 CORPORATE DR STE 301",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602498",
            "telephone_number": "985-855-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 CORPORATE DR STE 301",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602498",
            "telephone_number": "985-855-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-381-3811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.