NPIMap

Organization Active NPI

Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
National Provider Identifier
1982689113
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC
Practice address
225 Dunn St
Houma, LA 70360-4413
Phone
(985) 876-0300
Fax
(985) 872-0317
NPI assigned
Dec 9, 2005
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Nickolas C Zaunbrecher
Title
Chief Financial Officer
Phone
(337) 291-4834

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary
Interventional Cardiology Physician 207RI0011X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Surgical Physician Assistant 363AS0400X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

225 Dunn St
Houma, LA 70360-4413

Mailing address

PO Box 4176
Houma, LA 70361-4176
Phone (985) 876-0300

Other identifiers 2

IdentifierTypeStateIssuer
CS0290OtherLARR MEDICARE
1795119MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031117000706 LA Part B Supplier - Clinic/Group Practice 3779497441 Receives reassigned benefits from 168 practitioners
Practice locations: Prairieville, LA; Zachary, LA; Thibodaux, LA; Raceland, LA; Opelousas, LA; New Orleans, LA; New Iberia, LA; Morgan City, LA…
O20160825001958 MS Part B Supplier - Clinic/Group Practice 3779497441 Receives reassigned benefits from 23 practitioners
Practice locations: Meridian, MS
O20190802002385 LA Part B Supplier - Intensive Cardiac Rehabilitation 3779497441 Receives reassigned benefits from 2 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

8401 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 308-0247

1451 E Bridge St
Breaux Bridge, LA 70517
Phone (337) 332-2210

341 Moosa Blvd
Eunice, LA 70535
Phone (337) 457-4183

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

315 Liberty St
Houma, LA 70360
Phone (337) 367-5200

422 Kade St
Ste 1
Jennings, LA 70546
Phone (337) 388-6200

2730 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 369-9213

425 Settlers Trace Blvd
Lafayette, LA 70508
Phone (337) 988-1585

425 Settlers Trace Blvd
Ste 200
Lafayette, LA 70508
Phone (337) 233-0322

441 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8429

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

520 N Lewis St
Ste 101
New Iberia, LA 70563
Phone (337) 367-5200

1233 Wayne Gilmore Cir
Ste 450
Opelousas, LA 70570
Phone (337) 942-3003

37292 Market Place Dr
Ste A
Prairieville, LA 70769
Phone (225) 677-1400

102 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-4000

1320 Martin Luther King Dr
Thibodaux, LA 70301
Phone (985) 446-2021

Practitioners & affiliated clinicians

Practitioners 266

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.

View all 266

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1982689113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604413",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR INSTITUTE OF THE SOUTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "ZAUNBRECHER",
        "authorized_official_first_name": "NICKOLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "337-291-4834"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CS0290",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1795119",
            "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 Apr 27, 2023; 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.