Active NPI
Louis Charles Blanda Jr., M.D.
- Orthopaedic Surgery Physician
- Lafayette, LA
National Provider Identifier
1730189580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 011186
- Practice address
- 1103 Kaliste Saloom Road
Suite 100
Lafayette, LA 70508-2636 - Phone
- (337) 234-5234
- Fax
- (337) 235-2121
- NPI assigned
- Jul 22, 2005
- Last updated
- Feb 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 011186 | LA | Primary |
Addresses
Primary practice location
1103 Kaliste Saloom Road
Suite 100
Lafayette, LA 70508-2636
Mailing address
1103 Kaliste Saloom Road
Suite 100
Lafayette, LA 70508-2636
Phone (337) 234-5234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200000951 | Other | LA | RAILROAD |
| 1117579 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2022 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011186 | LA | MD | Orthopaedic Surgery Physician |
Interoperability endpoints
- lblanda@lbj.ssdirect.aprima.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1730189580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM ROAD",
"address_2": "SUITE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705082636",
"telephone_number": "337-234-5234",
"fax_number": "337-235-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM ROAD",
"address_2": "SUITE 100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705082636",
"telephone_number": "337-234-5234",
"fax_number": "337-235-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANDA",
"first_name": "LOUIS",
"middle_name": "CHARLES",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "011186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "200000951",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1117579",
"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 Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.