Provider Demographics
NPI:1922001627
Name:CAIN, MICHAEL S (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:CAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54287
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70154-4287
Mailing Address - Country:US
Mailing Address - Phone:337-706-1500
Mailing Address - Fax:337-354-0026
Practice Address - Street 1:1211 COOLIDGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2638
Practice Address - Country:US
Practice Address - Phone:337-289-8400
Practice Address - Fax:337-289-8401
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA021651207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1816451OtherGROUP MEDICAID
LA1672114Medicaid
LA1446891OtherMEDICAID GROUP NO.
LA1672114Medicaid
LA5W674CK94OtherMEDICARE GROUP PIN NO.
LAP00140779OtherRAILROAD MEDICARE PIN
LAG23082Medicare UPIN
LA1672114Medicaid
LA5W674Medicare PIN