Louisiana Cardiovascular Associates, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LOUISIANA CARDIOVASCULAR ASSOCIATES, LLC

Doing business as

Louisiana Cardiovascular Associates

Practice address

901 Wilson St
Lafayette, LA 70503-2439

Phone

(337) 806-5300

NPI assigned

Apr 25, 2022

Last updated

Apr 25, 2022By 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

Rock Bordelon

Title

Owner

Phone

(318) 226-8202

Specialties & licenses 2

Addresses

Other names 1

• Louisiana Cardiovascular Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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.

• Crystal White Jeansonne, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1124489372
  Medicare reassignment Care Compare group NPD
• Raghotham Reddy Patlola, MD

  • Interventional Cardiology Physician
  • Lafayette, LA
  • NPI 1821095860

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Brent J Rochon, MD

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1700874443
  Medicare reassignment Care Compare group NPD
• Stepheny Sumrall, N.P.

  • Acute Care Nurse Practitioner
  • Lafayette, LA
  • NPI 1386046704
  Medicare reassignment NPD
• Corwin Ashford Thomas, D.O.

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1013920362
  Medicare reassignment NPD

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1730823709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52327",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-806-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA CARDIOVASCULAR ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-226-8202"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisiana Cardiovascular Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Lafayette, LA
• Providers in Lafayette, 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 Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.