Organization Active NPI

Cardiothoracic Surgery, LLC

  • Surgery Physician
  • Metairie, LA
National Provider Identifier
1689645392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
096349 Issued in LA
Legal business name
CARDIOTHORACIC SURGERY, LLC
Practice address
3000 34TH St
Metairie, LA 70001-2016
Phone
(504) 834-2062
Fax
(504) 831-7429
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jared Y Gilmore, MDNPI 1083685770
Title
Partner
Phone
(504) 834-2062

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 096349 LA Primary

Addresses

Primary practice location

3000 34TH St
Metairie, LA 70001-2016

Mailing address

3000 34TH St
Metairie, LA 70001-2016
Phone (504) 834-2062

Other identifiers 1

IdentifierTypeStateIssuer
1945773MedicaidLA

National Provider Directory

National Provider Directory

Locations

2633 Napoleon Ave
Ste 1001
New Orleans, LA 70115
Phone (504) 899-5692

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689645392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 34TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012016",
            "telephone_number": "504-834-2062",
            "fax_number": "504-831-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 34TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012016",
            "telephone_number": "504-834-2062",
            "fax_number": "504-831-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-834-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "096349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945773",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.