SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC (NPI# 1689819898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689819898 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC |
| Other Organization Name | LOUISIANA HEART, LUNG & VASCULAR CENTER |
| Practice Address |
4212 W Congress St Suite 3200 Lafayette LA 70506-6765 |
| Mailing Address |
4212 W Congress St Suite 2300a Lafayette LA 70506-6765 |
| Practice Telephone | 3379811695 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2011-08-01 |
| Authorized Official Name | MR. MATTHEW SHANE OLIVIER (AUTHORIZED OFFICAL) |
| Authorized Official Telephone | 6153737600 |
| Is Organization Subpart | Y |
| Parent Organization Name | HTI HOSPITAL HOLDINGS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | LA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Louisiana Heart, Lung & Vascular Center | Doing Business As Name - Organization |
| Street Address |
4212 W CONGRESS ST SUITE 3200 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469377 | Esmond Anthony Barker | Internal Medicine | 4212 W Congress St, Suite 1800 A, Lafayette, LA 70506-6765 | 2005-07-07 |
| 1891144473 | Lafayette Health Ventures, Inc | Surgery | 4212 W Congress St, Lafayette, LA 70506-6765 | 2016-06-06 |
| 1285933168 | Barkers Cardiovascular Center LLC | Internal Medicine | 4212 W Congress St, Ste 1800 A, Lafayette, LA 70506-6765 | 2011-03-18 |
| 1346564366 | Keri Copponex | Anesthesiology | 4212 W Congress St, Lafayette, LA 70506-6765 | 2010-03-19 |
| 1114255965 | Myers Dermatology LLC | Dermatology | 4212 W Congress St, Suite 1430, Lafayette, LA 70506-6765 | 2009-12-04 |
| 1518191311 | Ochsner Clinic LLC | General Practice | 4212 W Congress St, Lafayette, LA 70506-6765 | 2009-05-07 |
| 1356589444 | Ochsner Clinic LLC | General Practice | 4212 W Congress St, Suite 3600, Lafayette, LA 70506-6765 | 2009-01-27 |
| 1104063403 | Neurosurgical Solutions of Lafayette LLC | Neurological Surgery | 4212 W Congress St, Ste 3500, Lafayette, LA 70506-6765 | 2009-01-08 |
| 1245482868 | Terri H Frederick | Massage Therapist | 4212 W Congress St, Ste. 3200, Lafayette, LA 70506-6765 | 2008-10-14 |
| 1447409586 | Relief Plus, LLC | Durable Medical Equipment & Medical Supplies | 4212 W Congress St, Suite 3200, Lafayette, LA 70506-6765 | 2008-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174732846 | Mohamad Allam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 155 Hospital Dr #301, Lafayette, LA 70503-2846 | 2007-05-21 |
| 1942220280 | Richard M Dearman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5000 Ambassador Caffery, Province Bldg. 14-a, Lafayette, LA 70508 | 2006-07-20 |
| 1477534402 | Thomas X Aufiero | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1176 N. 16th Street, Lafayette, IN 47904 | 2005-11-08 |
| 1174519466 | Michael Jay Scott Sheridan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1116 N 16th St Ste A, Lafayette, IN 47904 | 2005-09-22 |
| 1922005768 | Mitchell David Lirtzman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5904 | 2005-07-07 |
| 1689825499 | Louisiana Cardiovascular and Limb Salvage Center, Apmc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4811 Ambassador Caffery Parkway, Suite 401a, Lafayette, LA 70508 | 2008-10-10 |
| 1851470033 | Douglas Charles Wallace | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way, Ste 201, Lafayette, IN 47905-4923 | 2006-11-06 |
| 1184643512 | John J Schier | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3900 St Francis Way Ste 200, Lafayette, IN 47905-4940 | 2006-07-18 |
| 1770542441 | Kenneth Samuel Stone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1116 N 16th St, Suite A, Lafayette, IN 47904-2119 | 2006-03-21 |
| 1760489728 | David E Allie | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4811 Ambassador Caffery Parkway, Suite 401a, Lafayette, LA 70508 | 2005-07-06 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on SOUTHWEST MEDICAL CENTER SURGICAL GROUP, LLC.
| 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.