NPIMap

Organization Active NPI

Orthopaedic Reconstructive Sub-Specialists, LLC

  • Clinic/Center
  • Lafayette, LA
National Provider Identifier
1821433087
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD.200825 Issued in LA
Legal business name
ORTHOPAEDIC RECONSTRUCTIVE SUB-SPECIALISTS, LLC
Practice address
301 Rue Beauregard
Suite C
Lafayette, LA 70508-8520
Phone
(337) 534-0653
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Paul E Fenn Jr., MDNPI 1720006687
Title
Sole Member
Phone
(337) 534-0653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD.200825 LA Primary

Addresses

Primary practice location

301 Rue Beauregard
Suite C
Lafayette, LA 70508-8520

Mailing address

301 Rue Beauregard
Suite C
Lafayette, LA 70508-8520
Phone (337) 534-0653

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1821433087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RUE BEAUREGARD",
            "address_2": "SUITE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088520",
            "telephone_number": "337-534-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RUE BEAUREGARD",
            "address_2": "SUITE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088520",
            "telephone_number": "337-534-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC RECONSTRUCTIVE SUB-SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "FENN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "337-534-0653",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "MD.200825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.