HAMID KAKAVANDI (NPI# 1154414977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154414977 |
| Entity Type | Individual |
| Full Name | HAMID KAKAVANDI |
| Credential | DO |
| Practice Address |
420 S Vine St Bastrop LA 71220 |
| Mailing Address |
Po Box 293 Bastrop LA 71221-0293 |
| Practice Telephone | 3182833955 |
| Practice Fax Number | 3182398955 |
| Mailing Telephone | 3182833955 |
| Mailing Fax Number | 3182398955 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 321115 | LA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 03405 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 901 Montgomery St, Decorah, IA 521012325 | 5633822911 | 5633873102 |
| Street Address |
420 S VINE ST |
| City | BASTROP |
| State | LA |
| Zip Code | 71220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639283807 | Stephenie R. Long, Md LLC | Surgery | 420 S Vine St, Bastrop, LA 71220-4514 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952935983 | Broken Wings Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2869 New Monroe Road, Bastrop, LA 71220 | 2020-02-28 |
| 1275002685 | Hulin Urgent Care Services, LLC | Clinic/Center | 2100 East Madison Avenue, Bastrop, LA 71220 | 2018-11-14 |
| 1023594975 | Shuntel Ramona Johnson | Counselor | 8891 Holley Farm Road, Bastrop, LA 71220 | 2018-07-13 |
| 1376050526 | Kevin Hubbard | Case Manager/Care Coordinator | 9409 Willow Dr, Bastrop, LA 71220 | 2018-01-09 |
| 1265957229 | Alma Holmes | Behavioral Analyst | 644 E. Jefferson Ave, Bastrop, LA 71220 | 2017-08-10 |
| 1427570886 | Jennifer Rochelle Glosson | Counselor | 410 S. Franklin St, Bastrop, LA 71220 | 2017-07-07 |
| 1386179307 | Total Divine Care LLC | Community/Behavioral Health | 1840 North Washington Street, Bastrop, LA 71220 | 2017-04-27 |
| 1538609524 | Tyrra Watkins | Counselor | 10599 Parkwood Dr, Bastrop, LA 71220 | 2017-02-24 |
| 1528502119 | Oatie Brooks | Counselor | 813 Mccreight Street, Bastrop, LA 71220 | 2016-12-15 |
| 1487197810 | Valencia Reese | Counselor | 10434 Boswell St, Bastrop, LA 71220 | 2016-12-03 |
| Find all providers in zip 71220 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770794604 | Thomas C. Wooldridge A Professional Corporation | Surgery | 1921 North Washington St., Bastrop, LA 71221-1640 | 2007-05-24 |
| 1639283807 | Stephenie R. Long, Md LLC | Surgery | 420 S Vine St, Bastrop, LA 71220-4514 | 2006-08-18 |
| 1255777934 | Kei Nagatomo | Surgery | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2013-05-21 |
| 1700861903 | Joseph B Reynolds | Surgery | 323 W Walnut Ave, Bastrop, LA 71220-4521 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172767 | Chloe Elizabeth Callier | Surgery | 1514 Jefferson Hwy # At2, New Orleans, LA 70121-2429 | 2020-04-07 |
| 1598234338 | Wk Bossier Surgical Associates | Surgery | 2400 Hospital Dr Ste 250, Bossier City, LA 71111-2390 | 2018-11-23 |
| 1730663907 | Ida Molavi | Surgery | Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-09-24 |
| 1336622158 | The Surgery Clinic of Northeast Louisiana LLC | Surgery | 1503 N 19th St, Monroe, LA 71201-4941 | 2018-09-07 |
| 1578087516 | Dorothy Lewis Md, LLC | Surgery | 52 Oaklawn Dr, Covington, LA 70433-4518 | 2017-08-01 |
| 1417318304 | Colin Stewart Linke | Surgery | 2020 Gravier St Ste 602, New Orleans, LA 70112-2272 | 2016-03-18 |
| 1477922904 | Lafayette Health Ventures, Inc. | Surgery | 121 Audubon Blvd, Lafayette, LA 70503-2606 | 2015-09-15 |
| 1801263926 | Phillip P Crace Md Facs | Surgery | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2015-08-24 |
| 1164805719 | Lafayette Health Ventures, Inc. | Surgery | 900 E Saint Mary Blvd, Suite 106, Lafayette, LA 70503-2377 | 2015-07-01 |
| 1811319353 | Gary Lafleur Sr. | Surgery | 351 N 6th St, Eunice, LA 70535-4138 | 2014-01-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.