Bayou Orthotic and Prosthetic Center LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC

Practice address

400 N Causeway Blvd
Metairie, LA 70001-5338

Phone

(504) 833-7339

Fax

(504) 833-7559

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth R. Bordelon, C.P.O.

Title

Partner/Ceo

Phone

(504) 833-7339

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Bayou Orthotic and Prosthetic Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bayou Orthotic and Prosthetic Center LLC

  • Prosthetic/Orthotic Supplier
  • Covington, LA
  • NPI 1144078254
  NPD tax ID

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1750309696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015338",
            "telephone_number": "504-833-7339",
            "fax_number": "504-833-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CAUSEWAY BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015338",
            "telephone_number": "504-833-7339",
            "fax_number": "504-833-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU ORTHOTIC AND PROSTHETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER/CEO",
        "authorized_official_telephone_number": "504-833-7339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103284",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF LA",
            "identifier": "H6513",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Bauske, LMSW
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• Beacon Behavioral Hospital New Orleans LLC

• Prosthetic/Orthotic Supplier in Metairie, LA
• Providers in Metairie, LA by specialty
• Prosthetic/Orthotic Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.