Active NPI
Img Physicians,LLC
- Internal Medicine Physician
- Covington, LA
National Provider Identifier
1033157441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- IMG PHYSICIANS,LLC
- Practice address
- 56 Starbrush Cir
Covington, LA 70433-7208 - Phone
- (337) 408-0797
- Fax
- (985) 871-0529
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monique Romero
- Title
- Revenue Team Lead
- Phone
- (337) 408-0797
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Infectious Disease Physician | 207RI0200X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
56 Starbrush Cir
Covington, LA 70433-7208
Mailing address
1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (337) 408-0797
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03676839 | Medicaid | MS | |
| 1448125 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1375 Corporate Square Dr
#7026
Slidell, LA 70458
1051 Gause Blvd
Ste 260
Slidell, LA 70458
Phone (985) 641-5523
1051 Gause Blvd
Ste 300
Slidell, LA 70458
Phone (985) 641-5523
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kenner, LA
- NPI 1184657314
-
- Internal Medicine Physician
- Shreveport, LA
- NPI 1568441251
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1073570479
-
- Family Nurse Practitioner
- Hammond, LA
- NPI 1467499871
-
- Family Nurse Practitioner
- Covington, LA
- NPI 1700088788
-
- Hematology & Oncology Physician
- Slidell, LA
- NPI 1750437216
Internal Medicine
-
- Internal Medicine Physician
- Hammond, LA
- NPI 1952351769
-
- Internal Medicine Physician
- Chalmette, LA
- NPI 1962471177
-
- Family Medicine Physician
- Slidell, LA
- NPI 1922067172
-
- Internal Medicine Physician
- Covington, LA
- NPI 1104836790
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1104812544
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1508873712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1033157441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 CORPORATE SQUARE DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583147",
"telephone_number": "337-408-0797",
"fax_number": "985-643-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 STARBRUSH CIR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337208",
"telephone_number": "337-408-0797",
"fax_number": "985-871-0529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMG PHYSICIANS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "ROMERO",
"authorized_official_first_name": "MONIQUE",
"authorized_official_title_or_position": "REVENUE TEAM LEAD",
"authorized_official_telephone_number": "337-408-0797"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03676839",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1448125",
"state": "LA"
}
],
"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 Jan 21, 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.