Organization
PARADIGM HEALTH SYSTEM
Active
Organization
PARADIGM HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM GRESSAFFA (COO)
(985) 882-4500
Entity
Organization
Contact information
Practice address
64301 HIGHWAY 434, LACOMBE, LA 70445-5411
(985) 882-4500
(985) 882-4501
Mailing address
64301 HIGHWAY 434, LACOMBE, LA 70445-5411
(985) 882-4500
(985) 882-4501
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6747710001
DME
—
01
—
94076534
OCCUPATIONAL BUSINESS LICENSE
LA
Enumeration date
12/04/2012
Last updated
08/26/2014
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