Provider Demographics
NPI:1891152625
Name:LOUISIANA ORTHOPAEDIC SPECIALISTS, LLC
Entity Type:Organization
Organization Name:LOUISIANA ORTHOPAEDIC SPECIALISTS, LLC
Other - Org Name:THE CORE INSTITUTE AT LOUISIANA ORTHOPAEDIC SPECIALIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-235-8007
Mailing Address - Street 1:108 RUE LOUIS XIV
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-5739
Mailing Address - Country:US
Mailing Address - Phone:337-235-8007
Mailing Address - Fax:855-270-5479
Practice Address - Street 1:3521 HIGHWAY 190
Practice Address - Street 2:SUITE C
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-5135
Practice Address - Country:US
Practice Address - Phone:337-235-8007
Practice Address - Fax:337-235-8008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUISIANA ORTHOPAEDIC SPECIALISTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-25
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5DF73Medicare PIN