MEDICARE: MICHEL EDWARD HEARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	013797	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	013797	OTHER	LA	STATE MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477643922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHEL EDWARD HEARD M.D.

Provider Business Mailing Address
First Line	:	113 ST. THOMAS ST.
Second Line	:	SUITE B
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4554
Country	:	US
Telephone Number	:	337-234-0898
Fax Number	:	337-235-3081

Provider Business Practice Location Address
First Line	:	113 SAINT THOMAS ST
Second Line	:	SUITE B
City	:	LAFAYETTE
State	:	LA
Zip	:	70506-4575
Country	:	US
Telephone Number	:	337-234-0898
Fax Number	:	337-235-3081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	07/08/2007

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