Organization Active NPI

Cusimano Plastic Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1851882997
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
CUSIMANO PLASTIC SURGERY LLC
Practice address
7777 Hennessy Blvd Ste 102
Baton Rouge, LA 70808-4363
Phone
(225) 532-4064
NPI assigned
May 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Authorized official

Name
Chris Fallin
Title
Billing Manager
Phone
(225) 532-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 102
Baton Rouge, LA 70808-4363

Mailing address

7353 Highland Rd # B398
Baton Rouge, LA 70808-6641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180702001203 LA Part B Supplier - Clinic/Group Practice 8325394562 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

5233 Dijon Dr
Ste A
Baton Rouge, LA 70808
Phone (225) 761-8687

6330 Mourning Dove Dr
Baton Rouge, LA 70817
Phone (225) 277-7200

7353 Highland Rd
#B398
Baton Rouge, LA 70808

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1851882997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7353 HIGHLAND RD # B398",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708086641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084363",
            "telephone_number": "225-532-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSIMANO PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "FALLIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "225-532-4064"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.