NPIMap

Organization Active NPI

Cardiovascular Specialty Cath Center of Covington, LLC

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1861911166
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR SPECIALTY CATH CENTER OF COVINGTON, LLC
Practice address
71070 Highway 21
Covington, LA 70433-7160
Phone
(225) 456-5383
Fax
(225) 456-5383
NPI assigned
Sep 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Mr. Martin James Fischer
Title
Ceo
Phone
(225) 767-9878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

71070 Highway 21
Covington, LA 70433-7160

Mailing address

2223 Quail Run Ste F
Baton Rouge, LA 70808-9063
Phone (225) 456-5383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220523000704 LA Part B Supplier - Clinic/Group Practice 7618354168 Receives reassigned benefits from 10 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

71070 Highway 21
Ste A
Covington, LA 70433

Practitioners & affiliated clinicians

Practitioners 10

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": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1861911166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 QUAIL RUN STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089063",
            "telephone_number": "225-456-5383",
            "fax_number": "225-615-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71070 HIGHWAY 21",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337160",
            "telephone_number": "225-456-5383",
            "fax_number": "225-456-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALTY CATH CENTER OF COVINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-767-9878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.