Crescent Vans

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2846137001 Issued in LA

Legal business name

CRESCENT VANS

Practice address

2424 Hickory Ave
Metairie, LA 70003

Phone

(504) 738-2634

Fax

(504) 738-2663

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By 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

Mrs. Gina L Scott

Title

Office Manager

Phone

(504) 738-2634

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760513170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 HICKORY AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70003",
            "telephone_number": "504-738-2634",
            "fax_number": "504-738-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 HICKORY AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70003",
            "telephone_number": "504-738-2634",
            "fax_number": "504-738-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT VANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-738-2634",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "2846137001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1722316",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1958379",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Crescent City Surgical Centre Diagnostics, LLC
• Crescent City Surgical Centre Operating Company, L.L.C.
• Crescent City Surgical Centre Operating Company, L.L.C.
• Crescent View Surgery Center, LLC
• Guy Gerard Cresson, D.D.S.
• Russell Jeffrey Cresson, DDS, MS
• Creveling-Benefield LLC
• Christiane Creveling-Benefield, PH.D.

• Durable Medical Equipment & Medical Supplies in Metairie, LA
• Providers in Metairie, LA by specialty
• Durable Medical Equipment & Medical Supplies 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.