NPIMap

Organization Active NPI

Louisiana Cardiovascular and Limb Salvage Center, Apmc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lafayette, LA
National Provider Identifier
1689825499
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC
Practice address
4811 Ambassador Caffery Parkway
Suite 401a
Lafayette, LA 70508
Phone
(337) 456-6523
Fax
(337) 456-6521
NPI assigned
Oct 10, 2008
Last updated
Jul 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Samuel David Abraham
Title
Cfo
Phone
(337) 456-6525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD07649R LA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X LA Primary

Addresses

Primary practice location

4811 Ambassador Caffery Parkway
Suite 401a
Lafayette, LA 70508

Mailing address

901 Wilson St
Lafayette, LA 70503-2439
Phone (337) 456-6523

Other identifiers 1

IdentifierTypeStateIssuer
1376060MedicaidLA

National Provider Directory

National Provider Directory

Locations

200 Medical Dr
Ste B
Franklin, LA 70538
Phone (337) 828-5099

4811 Ambassador Caffery Pkwy
Ste 104
Lafayette, LA 70508

4811 Ambassador Caffery Pkwy
Ste 401A
Lafayette, LA 70508
Phone (337) 470-3040

4940 Vidrine Rd
Ville Platte, LA 70586
Phone (337) 222-2515

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1689825499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WILSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 AMBASSADOR CAFFERY PARKWAY",
            "address_2": "SUITE 401A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CARDIOVASCULAR AND LIMB SALVAGE CENTER, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-456-6525"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "MD07649R",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376060",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.