Active NPI
Geoffrey S Fendley, MSNA, CRNA
- Certified Registered Nurse Anesthetist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP04663
- Practice address
- 1001 Gause Blvd
Slidell, LA 70458-2939 - Phone
- (985) 280-2200
- NPI assigned
- May 30, 2005
- Last updated
- Feb 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN070040 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP04663 | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Slidell, LA 70458-2939
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1621064 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4583
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04663 | LA | MD | Certified Registered Nurse Anesthetist |
| RN070040 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Gastroenterology Anesthesia LLC | Current | Accepting new patients | |
| Total Anesthesia Care STPH, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Anesthesiology Affiliates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northlake Endoscopy, LLC | Current | Accepting new patients | |
| Premier Anesthesia of Fairmont, WV, a Division of Premier Anesthesia | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190
120 Innwood Dr
Covington, LA 70433
131 Cherokee Rose Ln
Covington, LA 70433
Phone (985) 641-8982
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
16061 Doctors Blvd
Ste A
Hammond, LA 70403
Phone (985) 345-6090
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Covington, LA
- NPI 1669475190
-
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
- NPI 1376878884
Nurse Anesthetist, Certified Registered
-
- Specialist
- Hammond, LA
- NPI 1699089581
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Ambulatory Surgical Clinic/Center
- Hammond, LA
- NPI 1942202221
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner St Mary Clinic
- Internal Medicine Physician
- Morgan City, LA
- NPI 1326664962
-
- Anesthesiology Physician
- Fairmont, WV
- NPI 1154595031
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1013910538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-280-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENDLEY",
"first_name": "GEOFFREY",
"middle_name": "S",
"credential": "MSNA, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-30",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN070040",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP04663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1621064",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.