VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC (NPI# 1609012657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609012657 |
| Entity Type | Organization |
| Organization Name | VASCULAR ACCESS CENTER OF SOUTHWEST LOUISIANA LLC |
| Practice Address |
1340 Surrey St Suite 101 Lafayette LA 70501-7618 |
| Mailing Address |
Po Box 38574 Philadelphia PA 19104-8574 |
| Practice Telephone | 3372054330 |
| Practice Fax Number | 3372054331 |
| Mailing Telephone | 2153823680 |
| Mailing Fax Number | 2153823683 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2009-08-11 |
| Authorized Official Name | DR. JAMES FREDERICK MCGUCKIN (CEO/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2153823680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD.202013 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1340 SURREY ST SUITE 101 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-7618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053330464 | Katharine L Krol | Radiology | 2403 Loy Dr, Lafayette, IN 47909-2701 | 2006-07-18 |
| 1043279391 | Paul E Timperman | Radiology | 2403 Loy Dr, Lafayette, IN 47909-2701 | 2006-03-23 |
| 1811966823 | Douglas Michael Dunco | Radiology | 2403 Loy Dr, Lafayette, IN 47909-2701 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438247 | James Ernesto Murray | Radiology | 1514 Jefferson Hwy Fl 2, Jefferson, LA 70121-2429 | 2014-04-28 |
| 1023383486 | Dane Gallmann Mackey | Radiology | 880 Sherwood Forest Blvd, Baton Rouge, LA 70815-5262 | 2012-03-19 |
| 1922313865 | John William Eiser | Radiology | 205 Magnolia Dr, Metairie, LA 70005-4030 | 2010-08-16 |
| 1386888733 | Jeremy David Cannell | Radiology | 15790 Paul Vega Drive, Hammond, LA 70403 | 2009-04-29 |
| 1457412983 | Charles N Aprill IIi | Radiology | 1919 Veterans Memorial Blvd Ste 101, Kenner, LA 70062-4003 | 2006-12-12 |
| 1437183670 | Peripheral Vascular, Inc. | Radiology | 1100 Andre St Ste 101, New Iberia, LA 70563-2159 | 2006-07-11 |
| 1891341400 | Amber Lynn Durel | Radiology | 2400 Canal St, New Orleans, LA 70119-6535 | 2019-08-11 |
| 1902258486 | Jphir LLC | Radiology | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2016-07-07 |
| 1619317500 | Ricky Miller | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2013-06-25 |
| 1518209394 | Laura Mirielle Leonards | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2013-03-20 |
| 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.