Acadiana Wound Care and Hyperbarics
Organization Active NPI Specialist · Crowley, LA
NPI 1902874183 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1902874183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- ACADIANA WOUND CARE AND HYPERBARICS
- Practice address
- 1307 Crowley Rayne Hwy
Suite D
Crowley, LA 70526-8210 - Phone
- (337) 783-3624
- Fax
- (337) 783-4265
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Bahman Sabbaghian
- Title
- M.D.
- Phone
- (337) 783-3624
Corporate family (same tax ID) 1
Practitioners 7
-
Ronald David Menard, M.D.
-
Nina Keith Hall, MD
-
Bahman Sabbaghian, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041018000075 | LA | Part B Supplier - Clinic/Group Practice | 6901866680 |
Receives reassigned benefits from 7 practitioners Practice locations: Crowley, LA |
National Provider Directory
- Tax ID family
- Acadia Wound Care and Hyperbarics
Locations
1325 Wright Ave
Ste C
Crowley, LA 70526
Phone (337) 783-3624
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | LA | Yes |
Addresses
Primary practice location
1307 Crowley Rayne Hwy
Suite D
Crowley, LA 70526-8210
Mailing address
404 N Eastern Ave
Crowley, LA 70526-4544
Phone (337) 783-0110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447471 | Medicaid | LA |
Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.