Active NPI
Bayou Surgical Specialists, L.L.C.
- Surgery Physician
- Houma, LA
National Provider Identifier
1922150754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- BAYOU SURGICAL SPECIALISTS, L.L.C.
- Practice address
- 5619 Highway 311 Ste a
Houma, LA 70360-5595 - Phone
- (985) 868-2273
- Fax
- (985) 851-4898
- NPI assigned
- Jan 18, 2007
- 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
- Kristine Tarantino
- Title
- Practice Administrator
- Phone
- (985) 868-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
5619 Highway 311 Ste a
Houma, LA 70360-5595
Mailing address
5619 Highway 311 Ste a
Houma, LA 70360-5595
Phone (985) 868-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1941417 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
930 School St
Houma, LA 70360
Phone (504) 868-2273
5619 Highway 311
Ste B
Houma, LA 70360
Phone (985) 868-2206
218 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Houma, LA
- NPI 1598817389
-
- Surgery Physician
- Houma, LA
- NPI 1518019314
-
- Surgery Physician
- Houma, LA
- NPI 1710039532
-
- Plastic and Reconstructive Surgery Physician
- Houma, LA
- NPI 1295995405
Single Specialty
-
- Surgery Physician
- Morgan City, LA
- NPI 1609094309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309910400000",
"number": "1922150754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5619 HIGHWAY 311 STE A",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605595",
"telephone_number": "985-868-2273",
"fax_number": "985-851-4898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5619 HIGHWAY 311 STE A",
"city": "HOUMA",
"state": "LA",
"postal_code": "703605595",
"telephone_number": "985-868-2273",
"fax_number": "985-851-4898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYOU SURGICAL SPECIALISTS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2011-07-06",
"status": "A",
"authorized_official_last_name": "TARANTINO",
"authorized_official_first_name": "KRISTINE",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "985-868-2273"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1941417",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.