# ORTHOPAEDIC SPORTS SPECIALISTS OF LOUISIANA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** OrthoLA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316146228
- **Authorized official:** DR. DAVID W ELIAS M.D. (OWNER/OPERATOR)
- **Authorized official phone:** (985) 625-2200

## Contact information

- **Practice address:** 726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
- **Practice address phone:** (985) 625-2200
- **Practice address fax:** (985) 625-2206
- **Mailing address:** 726 N ACADIA RD STE 1000, THIBODAUX, LA 70301-5051
- **Mailing address phone:** (985) 625-2200
- **Mailing address fax:** (985) 625-2206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 10/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1821049743 | DR'S INDIVIDUAL NPI | LA |