Provider Demographics
NPI:1588667257
Name:CAIN & JOHNSON ONCOLOGY LLC
Entity Type:Organization
Organization Name:CAIN & JOHNSON ONCOLOGY LLC
Other - Org Name:LAFAYETTE HEMATOLOGY-ONCOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-354-0030
Mailing Address - Street 1:PO BOX 52028
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70505-2028
Mailing Address - Country:US
Mailing Address - Phone:337-354-0030
Mailing Address - Fax:337-354-0026
Practice Address - Street 1:155 HOSPITAL DR
Practice Address - Street 2:STE 100
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2852
Practice Address - Country:US
Practice Address - Phone:337-354-0030
Practice Address - Fax:337-354-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA021651207RH0003X
LA021976207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1446891Medicaid
LADB9815OtherRAILROAD MEDICARE
LA1446891Medicaid
LADB9815OtherRAILROAD MEDICARE