PERFUSION VASCULAR HAMMOND LLC (NPI# 1699293357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699293357 |
| Entity Type | Organization |
| Organization Name | PERFUSION VASCULAR HAMMOND LLC |
| Practice Address |
16065 Lamonte Dr Hammond LA 70403-1405 |
| Mailing Address |
Po Box 1089 Hammond LA 70404-1089 |
| Practice Telephone | 9858927070 |
| Practice Fax Number | 9858927017 |
| Mailing Telephone | 9858927070 |
| Mailing Fax Number | 9858927017 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2017-09-01 |
| Authorized Official Name | SHAUN R CARPENTER (CEO) |
| Authorized Official Telephone | 9858927070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
16065 LAMONTE DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639211 | Todd Patrick Shaffett | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2005-06-16 |
| 1558989046 | Amie Michelle Wilson | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2020-07-10 |
| 1598398703 | Blandon Edward Sorrell II | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2020-02-16 |
| 1548824295 | Natalie Dean | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2019-04-29 |
| 1104381748 | Joseph Defraites | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2019-02-07 |
| 1396254330 | Katie Schloegel | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2017-09-21 |
| 1568983583 | Alaina Jourdan | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2017-06-29 |
| 1316332018 | Rebekah M Starns | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2015-03-31 |
| 1851709968 | Lindsay Dowdle | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2014-08-01 |
| 1821404203 | Cristel Capone Landry | Nurse Practitioner | 16065 Lamonte Dr, Hammond, LA 70403-1405 | 2014-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1275159790 | Cardiovascular Specialties of Louisiana LLC | Surgery | 3311 Prescott Rd Ste 312, Alexandria, LA 71301-3984 | 2020-06-20 |
| 1578942512 | Southern Vascular Associates LLC | Surgery | 127 Queensberry Dr, Lafayette, LA 70508-5421 | 2015-05-22 |
| 1821330093 | Laurel Hadley Hastings | Surgery | 7777 Hennessy Blvd Ste 1008, Baton Rouge, LA 70808 | 2013-03-26 |
| 1598001687 | Rodric Marsh Yeager | Surgery | 7717 Creswell Rd, 46, Shreveport, LA 71106-6000 | 2012-12-18 |
| 1730410408 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave Fl 3, Baton Rouge, LA 70809-3720 | 2010-01-20 |
| 1588993679 | Vascular Access Center of North Shore Louisiana | Surgery | 915 South Harrison Street, Covington, LA 70433 | 2009-12-18 |
| 1174624712 | Jon V. Schellack, M.d. (a Professional Medical Corporation) | Surgery | 5425 Brittany Dr # B, Baton Rouge, LA 70808-9144 | 2006-09-26 |
| 1003926981 | John Douglas Frusha | Surgery | 8595 Picandy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1164435475 | Stephen Collier White | Surgery | 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 | 2006-08-15 |
| 1285645705 | Claudie Suzanne Mcarthur Sheahan Md | Surgery | 2820 Napoleon Ave Ste 700, New Orleans, LA 70115-8291 | 2006-08-10 |
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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.