Active NPI
Plaza Orthopedic & Sports Medicine Clinic LLC
- Specialist
- Hammond, LA
National Provider Identifier
1922048735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PLAZA ORTHOPEDIC & SPORTS MEDICINE CLINIC LLC
- Practice address
- 15781 Professional PLZ
Hammond, LA 70403-1452 - Phone
- (985) 542-1533
- Fax
- (985) 542-6713
- NPI assigned
- Jun 8, 2006
- Last updated
- Feb 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John L Fambrough, M.D.
- Title
- Physician Partner
- Phone
- (985) 542-1533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
15781 Professional PLZ
Hammond, LA 70403-1452
Mailing address
15781 Professional PLZ
Hammond, LA 70403-1452
Phone (985) 542-1533
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Specialist
- Hammond, LA
- NPI 1659314623
-
- Orthopaedic Surgery Physician
- Hammond, LA
- NPI 1033153564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1922048735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15781 PROFESSIONAL PLZ",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031452",
"telephone_number": "985-542-1533",
"fax_number": "985-542-6713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15781 PROFESSIONAL PLZ",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031452",
"telephone_number": "985-542-1533",
"fax_number": "985-542-6713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAZA ORTHOPEDIC & SPORTS MEDICINE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "FAMBROUGH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "985-542-1533",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.