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EXTREME ENVIRONMENTAL MEDICINE LLC NPI 1699321703


NPI Information

NPI: 1699321703
Provider Name: EXTREME ENVIRONMENTAL MEDICINE, LLC
Classification: Preventive Medicine - 2083P0011X
Entity Type: Organization

Specialization: Undersea and Hyperbaric Medicine

Address:
180 W ESPLANADE AVE STE 108
KENNER, LA
ZIP 70065
Phone: (504) 464-8686
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EXTREME ENVIRONMENTAL MEDICINE, LLC is an undersea and hyperbaric medicine preventive medicine in Kenner, LA. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. EXTREME ENVIRONMENTAL MEDICINE, LLC NPI is 1699321703. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 W ESPLANADE AVE STE 108
KENNER, LA
ZIP 70065-467
Phone: (504) 464-8686

The provider's authorized official is Micah W. Siegel .
The authorized official title is Owner and has the following contact phone number (708) 790-2776.

The enumeration date for this NPI number is 8/14/2019 and was last updated on 8/10/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447541941MEDICAIDNEW JERSEY
21699321703MEDICAIDLOUISIANA

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: 5/5/2024

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