MITCHELL DAVID LIRTZMAN (NPI# 1922005768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922005768 |
| Entity Type | Individual |
| Full Name | MITCHELL DAVID LIRTZMAN |
| Credential | MD |
| Practice Address |
2730 Ambassador Caffery Pkwy Lafayette LA 70506-5904 |
| Mailing Address |
Po Box 4176 Houma LA 70361-4176 |
| Practice Telephone | 3379881585 |
| Practice Fax Number | 3379819624 |
| Mailing Telephone | 9858760300 |
| Mailing Fax Number | 9858720317 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2009-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 05615R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1672262 | 05 | |
| LA | RR MEDICARE | 780000943 | 01 |
| Street Address |
2730 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083067144 | Keiffer Bengie Wyble | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506 | 2016-07-13 |
| 1902269509 | Rein Liles | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2016-03-31 |
| 1659764041 | John-mario Walter Altamirano | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2015-03-10 |
| 1619368586 | Marcus A Montet | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2015-02-12 |
| 1063796407 | Mareesa Perrault Mathers | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2011-10-04 |
| 1871881698 | Acadiana Endocrinology Clinic LLC | Internal Medicine | 2730 Ambassador Caffery Pkwy, 201, Lafayette, LA 70506-5939 | 2011-07-13 |
| 1710207725 | Brent Lee Smith | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2010-06-02 |
| 1144458027 | Amit Navinchandra Amin | Internal Medicine | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2009-06-30 |
| 1255568481 | Gabe Scott Robin | Nurse Practitioner | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2009-06-15 |
| 1265674691 | Krishna Nagendran | Internal Medicine | 2730 Ambassador Caffery Pkwy, Lafayette, LA 70506-5939 | 2009-03-31 |
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| 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 |
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| 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 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225376536 | Warren L Gottsegen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 865 Dubois Dr, Baton Rouge, LA 70808-5038 | 2013-01-21 |
| 1528355021 | Morrison Curtis Bethea | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1615 Poydras St Fl 23, New Orleans, LA 70112-1254 | 2011-07-05 |
| 1184913378 | Heart Lung and Vascular Clinic, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 Hodge Watson Rd, Calhoun, LA 71225-9786 | 2011-03-29 |
| 1548561194 | Emily V. Cassidy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4950 Essen Ln Fl 1, Baton Rouge, LA 70809 | 2010-11-13 |
| 1619113834 | Rudolph F Weichert IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 501 Rue Saint Peter, Unit 111, Metairie, LA 70005 | 2008-12-17 |
| 1639328131 | Cardiovascular and Thoracic Specialists, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 413 Highland Crossing St, Baton Rouge, LA 70810-5816 | 2008-09-09 |
| 1881737104 | Cardiothoracic Surgeons of The South, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1605 Foster St, Lake Charles, LA 70601-5815 | 2007-02-15 |
| 1326101254 | Blaine Mcdermott Borders | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 244 Saint Andrews Rd, Calhoun, LA 71225-7931 | 2006-12-19 |
| 1932154846 | St Francis Medical Center, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 312 Grammont Street, Suite 401, Monroe, LA 71201-7385 | 2006-05-23 |
| 1093779092 | Walter L Bringaze IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7777 Hennessy Blvd Ste 8001, Baton Rouge, LA 70808-4300 | 2006-04-14 |
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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.