Cardiovascular Surgery of Alexandria ,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10146R Issued in LA

Legal business name

CARDIOVASCULAR SURGERY OF ALEXANDRIA ,LLC

Practice address

211 4TH St # 30163
Alexandria, LA 71301-8421

Phone

(318) 767-5878

Fax

(318) 767-5887

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tommie M Granger, M.D.NPI 1124018866

Title

Owner

Phone

(318) 767-5878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBDECA

Practitioners 6

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

• Tommie Mack Granger, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Alexandria, LA
  • NPI 1124018866
  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Leigh Munsterman, NP

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1992225767
  Medicare reassignment Care Compare group NPD
• Brittany Derbonne Moses, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
  • NPI 1255019386
  Medicare reassignment NPD
• Richard J Williams, MD

  • Cardiovascular Disease Physician
  • Alexandria, LA
  • NPI 1093705659
  Medicare reassignment NPD
• Robert C Smith, MD

  • Surgery Physician
  • Alexandria, LA
  • NPI 1962553560
  NPD (past)
• David G Cable, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rockford, IL
  • NPI 1033183728

  Specialist

  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1982735486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST # 30163",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-767-5878",
            "fax_number": "318-767-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST # 30163",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-767-5878",
            "fax_number": "318-767-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SURGERY OF ALEXANDRIA ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "TOMMIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-767-5878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "10146R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Capps
• Mark A Carbo, PA-C
• Cardiac Cath Lab of Alexandria LP
• Cardiology Associates of Central la
• Cardiovascular Specialties of Louisiana LLC
• Christopher Guy Carey, OT
• Caring Hands and Caring Hearts Home Care Services, Inc.
• Caring Hands and Caring Hearts Home Care Services, Inc.
• Carl Phillips NP Services
• David Milton Carlton III, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.