Organization Active NPI

Lakeview Cardiology Specialists, LLC

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1013344027
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LAKEVIEW CARDIOLOGY SPECIALISTS, LLC
Practice address
101 Judge Tanner Blvd
Suite 106
Covington, LA 70433-7503
Phone
(985) 892-8959
Fax
(985) 892-8975
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Rebok
Title
Group Vice President/Ao
Phone
(615) 372-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

101 Judge Tanner Blvd
Suite 106
Covington, LA 70433-7503

Mailing address

PO Box 742845
Atlanta, GA 30374-2845
Phone (615) 373-7600

National Provider Directory

National Provider Directory

Locations

20 Starbrush Cir
Covington, LA 70433
Phone (985) 777-7000

101 Judge Tanner Blvd
Ste 204
Covington, LA 70433
Phone (985) 898-4949

64040 Highway 434
Ste 101
Lacombe, LA 70445
Phone (985) 882-8488

64040 Highway 434
Ste 103
Lacombe, LA 70445
Phone (985) 789-3078

12 Medical Plaza Blvd
#A
Picayune, MS 39466
Phone (985) 641-7283

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1013344027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742845",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742845",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD",
            "address_2": "SUITE 106",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337503",
            "telephone_number": "985-892-8959",
            "fax_number": "985-892-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW CARDIOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "REBOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT/AO",
        "authorized_official_telephone_number": "615-372-5004"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.