Perfusion Vascular Hammond LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

PERFUSION VASCULAR HAMMOND LLC

Practice address

16065 Lamonte Dr
Hammond, LA 70403-1405

Phone

(985) 892-7070

Fax

(985) 892-7017

NPI assigned

Sep 1, 2017

Organization subpart

No

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

Authorized official

Name

Shaun R Carpenter, MD

Title

Ceo

Phone

(985) 892-7070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1699293357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16065 LAMONTE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031405",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFUSION VASCULAR HAMMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-01",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-892-7070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigette Hogue Pennington
• Janice Pennington, LCSW
• Joan Carol Peperone, APRN, FNP-C
• Matthew Peralta, ARDMS
• Jeffrey Michael Perez, LCSW
• Regina Pergola
• Lane C Perilloux, DPT
• Megan Perilloux, NP
• Joyce Perkins Davis X
• James Martin Perkins III

• Vascular Surgery Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Vascular Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.