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NORTHSHORE CARDIOVASCULAR ASSOCIATES LLC NPI 1275560567


NPI Information

NPI: 1275560567
Provider Name: NORTHSHORE CARDIOVASCULAR ASSOCIATES LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
2360 GAUSE BLVD E
SLIDELL, LA
ZIP 70461
Phone: (985) 641-7283
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NORTHSHORE CARDIOVASCULAR ASSOCIATES LLC is a cardiovascular disease internal medicine in Slidell, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NORTHSHORE CARDIOVASCULAR ASSOCIATES LLC NPI is 1275560567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2360 GAUSE BLVD E
SLIDELL, LA
ZIP 70461-141
Phone: (985) 641-7283
Fax: (985) 641-7207

The provider's authorized official is Anthony Morales .
The authorized official title is Managing Partner and has the following contact phone number (985) 641-7283.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 9/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11799661MEDICAIDLOUISIANA
2CD7421MEDICARE UPINMISSISSIPPI
356964MEDICARE ID-TYPE UNSPECIFIEDLOUISIANAMEDICARE GROUP NUMBER
4C00363MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMEDICARE GROUP NUMBER
509012730MEDICAIDMISSISSIPPI
6CD7049MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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