Heart & Vascular Institute of la LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10048R Issued in LA

Legal business name

HEART & VASCULAR INSTITUTE OF LA LLC

Practice address

64040 Highway 434
Suite 101
Lacombe, LA 70445-3499

Phone

(985) 882-9800

Fax

(985) 882-9400

NPI assigned

Jan 15, 2007

Last updated

Jun 26, 2008By 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

Paul E Nathan, MD

Title

Managing Member

Phone

(985) 882-9800

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1689725772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740209",
            "address_2": "DEPT 1013",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740209",
            "telephone_number": "985-882-9800",
            "fax_number": "985-882-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64040 HIGHWAY 434",
            "address_2": "SUITE 101",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704453499",
            "telephone_number": "985-882-9800",
            "fax_number": "985-882-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & VASCULAR INSTITUTE OF LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "985-882-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "10048R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022063",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tressa Glasper, RN-BC, BSN
• Patrick Joseph Glynn, M.D.
• Zachary-Ross David Goodwin, M.D
• Goux Enterprises, LLC (Lacombe Nursing Centre)
• Lisa Ann Gust, P. T.
• Heart and Vascular Clinic, Apmc
• Louis Desire Hebert, MD
• Shannon Killey Hogg
• Nikole P Holliday, MSN, APRN,FNP-C
• Elizabeth Hooter

• Cardiovascular Disease Physician in Lacombe, LA
• Providers in Lacombe, 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 26, 2008; 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.