LOUISIANA SPINE SURGERY (NPI# 1487815585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487815585 |
| Entity Type | Organization |
| Organization Name | LOUISIANA SPINE SURGERY |
| Practice Address |
113 Saint Thomas St Suite D Lafayette LA 70506-4575 |
| Practice Telephone | 3372615453 |
| Mailing Telephone | 3372615453 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | DR. MARK FRANCIS MCDONNELL (PRESIDENT) |
| Authorized Official Telephone | 3372615453 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
15736A | LA | Allopathic & Osteopathic Physicians |
| Street Address |
113 SAINT THOMAS ST SUITE D |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699869800 | Michel E. Heard, M.d. Apmc | Clinic/Center | 113 Saint Thomas St, Suite B, Lafayette, LA 70506-4575 | 2006-10-03 |
| 1760682272 | Michel E. Heard, M.d. (a Medical Corporation) | Non-Pharmacy Dispensing Site | 113 Saint Thomas St, Suite A, Lafayette, LA 70506-4575 | 2007-07-23 |
| 1477643922 | Michel Edward Heard | Orthopaedic Surgery | 113 Saint Thomas St, Suite B, Lafayette, LA 70506-4575 | 2006-10-13 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982744595 | Mark Mcdonnell | Orthopaedic Surgery | 1103 Kaliste Saloom Rd Ste 310, Lafayette, LA 70508-5784 | 2007-02-06 |
| 1215906029 | John M Gorup | Orthopaedic Surgery | 1345 Unity Place, Suite 310, Lafayette, IN 47905-5769 | 2006-03-15 |
| 1770738312 | Lon Michael Baronne II | Orthopaedic Surgery | 108 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2008-11-24 |
| 1588837058 | Unity Healthcare LLC | Orthopaedic Surgery | 1345 Unity Pl, Suite 310, Lafayette, IN 47905-5769 | 2008-04-07 |
| 1720176514 | Neil Cameron Romero | Orthopaedic Surgery | 108 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2006-10-10 |
| 1669428645 | Mario P Brkaric | Orthopaedic Surgery | 1345 Unity Pl, Suite 310, Lafayette, IN 47905-5769 | 2006-05-25 |
| 1639120918 | Unity Healthcare, LLC | Orthopaedic Surgery | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801394176 | Spine Cin of Baton Rouge LLC | Orthopaedic Surgery | 9655 Perkins Rd Ste C-217, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1992203269 | Optimal Health of La, LLC | Orthopaedic Surgery | 9655 Perkins Rd Ste C-219, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1457388035 | Alexis M Waguespack | Orthopaedic Surgery | 1849 Barataria Blvd, Suite C, Marrero, LA 70072-4203 | 2006-06-27 |
| 1538135868 | John Brisbane Logan | Orthopaedic Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1275509549 | The North Institute, Apmc | Orthopaedic Surgery | 29301 N Dixie Ranch Road, Lacombe, LA 70445 | 2006-02-27 |
| 1982606356 | Michael T Acurio | Orthopaedic Surgery | 2005 Landry Drive, Bossier City, LA 71111 | 2005-08-15 |
| 1962000687 | Fairway Medical Center, LLC | Orthopaedic Surgery | 67252 Industry Ln, Covington, LA 70433-8704 | 2020-10-14 |
| 1669092326 | Caroline Schneider | Orthopaedic Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-04-23 |
| 1841820396 | Restore Spine and Pain Specialists, LLC | Orthopaedic Surgery | 15814 Professional Plz, Hammond, LA 70403-1453 | 2020-01-23 |
| 1982167755 | Sla Care of La II, LLC | Orthopaedic Surgery | 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 | 2019-04-09 |
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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.