NPIMap

Organization Active NPI

Paradigm Health System

  • Orthopaedic Surgery of the Spine Physician
  • Lacombe, LA
National Provider Identifier
1780929604
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
PARADIGM HEALTH SYSTEM
Practice address
64301 Highway 434
Lacombe, LA 70445-5411
Phone
(985) 882-4500
Fax
(985) 882-4501
NPI assigned
Dec 4, 2012
Last updated
Aug 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Mr. Tom Gressaffa
Title
Coo
Phone
(985) 882-4500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

64301 Highway 434
Lacombe, LA 70445-5411

Mailing address

64301 Highway 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130309000011 LA Part B Supplier - Clinic/Group Practice 7012162464 Receives reassigned benefits from 44 practitioners
1 other NPI on this enrollment
Practice locations: Slidell, LA; Metairie, LA; Mandeville, LA; La Place, LA; Lacombe, LA
O20130522000233 LA DME Supplier - Physician - Unknown Physician Specialty 7012162464 Practice locations: Lacombe, LA
O20230313000497 MS Part B Supplier - Clinic/Group Practice 7012162464 Receives reassigned benefits from 2 practitioners
Practice locations: Bay St Louis, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

701 Robley Dr
Ste D
Lafayette, LA 70503

3190 E Causeway Approach
Mandeville, LA 70448

110 Veterans Memorial Blvd
Ste 3
Metairie, LA 70005

401 Veterans Memorial Blvd
Ste 2
Metairie, LA 70005

401 Vets Blvd
Metairie, LA 70005

985 Robert Blvd
Slidell, LA 70458
Phone (985) 649-4911

985 Robert Blvd
Ste 103
Slidell, LA 70458
Phone (985) 643-5242

987 Robert Blvd
Ste 105
Slidell, LA 70458

202 Drinkwater Rd
#B
Bay St Louis, MS 39520
Phone (228) 678-1509

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1780929604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64301 HIGHWAY 434",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455411",
            "telephone_number": "985-882-4500",
            "fax_number": "985-882-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64301 HIGHWAY 434",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "704455411",
            "telephone_number": "985-882-4500",
            "fax_number": "985-882-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "GRESSAFFA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "985-882-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacombe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.