Surgery & Hyperbaric Medicine, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY & HYPERBARIC MEDICINE, INC

Practice address

1057 Paul Maillard Rd
Suite 250
Luling, LA 70070-4349

Phone

(985) 785-2218

Fax

(985) 785-7753

NPI assigned

May 1, 2007

Organization subpart

No

Name

Dr. Willard Kenneth Mann Jr., DDS, MD

Title

Ceo

Phone

(985) 785-2218

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sujata Chava, M.D.

  • Internal Medicine Physician
  • Luling, LA
  • NPI 1043318090
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740401660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1764",
            "address_2": "1057 PAUL MAILLARD ROAD SUITE 250",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700701764",
            "telephone_number": "985-785-2218",
            "fax_number": "985-785-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "address_2": "SUITE 250",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-2218",
            "fax_number": "985-785-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY & HYPERBARIC MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "WILLARD",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-785-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Charles Parish School Board
• St. Charles Parish School Board
• Charlene B Stamps, CRNA
• Patrize Stuart
• Patrick S. Stumpf, M.D.
• Yacara Tabb, DPM
• Melissa Figueredo Taravella, NP
• Victoria Termine
• The Center for Family and Youth Services Inc
• The Official Resource Headquarters, LLC

• All providers in Luling, LA
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.