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JOHN GEORGE ROHEIM M.D.FAAP APMC NPI 1760401475


NPI Information

NPI: 1760401475
Provider Name: JOHN GEORGE ROHEIM, M.D.,FAAP, APMC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 19D1001779

Address:
105 MEDICAL CENTER DRIVE
SUITE 202A
SLIDELL, LA
ZIP 70458
Phone: (985) 643-4558
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JOHN GEORGE ROHEIM, M.D.,FAAP, APMC is a specialist in Slidell, LA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JOHN GEORGE ROHEIM, M.D.,FAAP, APMC NPI is 1760401475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 MEDICAL CENTER DRIVE
SUITE 202A
SLIDELL, LA
ZIP 70458
Phone: (985) 643-4558
Fax: (985) 649-0663

The provider's authorized official is John Grorge Roheim .
The authorized official title is Physician and has the following contact phone number (985) 643-4558.

The CLIA number assigned to this NPI record is 19D1001779 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 7/25/2007.


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
1174400000XSpecialistYes

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
11933058MEDICAIDLOUISIANA
2F36324MEDICARE UPINLOUISIANA

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: 11/14/2023

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