Individual provider Active NPI

Maxie A Trahan, M.D.

  • Surgery Physician
  • Crowley, LA
National Provider Identifier
1497999098
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.206805 Issued in LA
Practice address
717 N Eastern Ave
Crowley, LA 70526-3856
Phone
(337) 783-1629
Fax
(337) 783-1137
NPI assigned
Apr 27, 2009
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X MD.206805 LA Primary

Addresses

Primary practice location

717 N Eastern Ave
Crowley, LA 70526-3856

Mailing address

717 N Eastern Ave
Crowley, LA 70526-3856
Phone (337) 783-1629

Other identifiers 1

IdentifierTypeStateIssuer
1928151MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140911000538 LA Practitioner - General Surgery 4981823689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

717 N Eastern Ave
Crowley, LA 70526-3856
Phone (337) 783-1629

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision19
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206805LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville General Hospital CurrentSince May 1, 2024 Accepting new patients
Trahan Consulting Group LLC Surgery CurrentSince Oct 1, 2016 Accepting new patients
Abbeville General Hospital CurrentSince May 1, 2024 Accepting new patients
Acadiana Imaging Services LLC Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

2419 Alonzo St
Abbeville, LA 70510
Phone (337) 892-0630

717 N Eastern Ave
Crowley, LA 70526
Phone (337) 783-1629

719 N Eastern Ave
Crowley, LA 70526
Phone (318) 783-3222

220 North Rd
Erath, LA 70533
Phone (337) 937-5944

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

Interoperability endpoints

  • Direct secure messaging: mtrahan1443405@direct.ochsner.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1497999098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N EASTERN AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263856",
            "telephone_number": "337-783-1629",
            "fax_number": "337-783-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N EASTERN AVE",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705263856",
            "telephone_number": "337-783-1629",
            "fax_number": "337-783-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAHAN",
        "first_name": "MAXIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.206805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1928151",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.