Plaza Orthopedic & Sports Medicine Clinic LLC

Primary specialty

SpecialistTaxonomy code 174400000X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Robert T McAfee, M.D.

  • Orthopaedic Surgery Physician
  • Hammond, LA
  • NPI 1033153564
  NPD

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1949256",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Gioia Pizzo, FNP-C
• Courtney Marie Place
• Amelia Claire Plaisance
• Plantation Management Company, LLC
• Play & Say, LLC
• William G Plunkett, MD
• Andee Marie Poche, DC
• Sara Elizabeth Pohlman, AU.D.
• Blaise V Polito, D.D.S.
• Patricia Ann Polito, BACHERLORS

• Specialist in Hammond, LA
• Providers in Hammond, LA by specialty
• Specialist in Louisiana

• 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.

Verify at the official NPI Registry.