NPIMap

Organization Active NPI

Northshore Anesthesia, LLC

  • Ophthalmology Physician
  • Hammond, LA
National Provider Identifier
1033410212
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
019548 Issued in LA
Legal business name
NORTHSHORE ANESTHESIA, LLC
Practice address
17174 S I 12 Service Rd
Hammond, LA 70403-2408
Phone
(985) 542-3336
Fax
(985) 542-0733
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Dr. Eric D Griener, M.D.
Title
Manager
Phone
(985) 542-3336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 019548 LA Primary

Addresses

Primary practice location

17174 S I 12 Service Rd
Hammond, LA 70403-2408

Mailing address

2831 Monroe St
Mandeville, LA 70448-4936
Phone (985) 542-3336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1033410212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 MONROE ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484936",
            "telephone_number": "985-542-3336",
            "fax_number": "985-542-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17174 S I 12 SERVICE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704032408",
            "telephone_number": "985-542-3336",
            "fax_number": "985-542-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE ANESTHESIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "GRIENER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "985-542-3336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "019548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.