GABRIEL L. DERSAM MD – NPI #1487844650
Orthopaedic Surgery
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
GABRIEL DERSAM is an orthopaedic surgeon located in LAFAYETTE, LA. NPPES has assigned the NPI number 1487844650 to GABRIEL DERSAM on July 25, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XP3100X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery
The NPI profile was previously updated about 3 years ago on Dec 19, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GABRIEL DERSAM below.
NPI Profile for
GABRIEL L. DERSAM
(about 19 years ago)
LAFAYETTE, LA 70508-6908 Phone: (337) 470-5920 Fax: (885) 431-6868
1 Other location(s):
Lake Charles, LA 70605-7180
Phone: (337) 470-2907
Fax: (855) 431-6868
BATON ROUGE, LA 70816-6038 Phone: (225) 526-0474 Fax: (225) 765-9196
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for GABRIEL DERSAM
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | LA | 1033553 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207XP3100X - Orthopaedic Surgery / Pediatric Orthopaedic Surgery (Primary) |
IL | 036136684 |
| 207X00000X - Orthopaedic Surgery |
MN | 103060 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Health Information Exchange (HEI)
HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.
View All Endpoint(s)
- Endpoint
- [email protected]
- Endpoint type
- Direct Messaging Address
- Endpoint Description
- FMOLHS-EPIC
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
4704 AMBASSADOR CAFFERY PKWY,
LAFAYETTE, LA 77025-1669
- Endpoint
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- Endpoint type
- FHIR URL
- Endpoint Description
- FMOLHS FIR URL
- Content Type
- OTHER
- Affiliation
- N
- Endpoint Location
-
4704 AMBASSADOR CAFFERY PKWY,
LAFAYETTE, LA 77025-1669
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
Why is my NPI data (personal information) being displayed publicly?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System.
See the complete CMS Data Dissemination Notice here.