Active NPI
Crispin G. Bolisay, MD Apmc
- Nephrology Physician
- New Orleans, LA
National Provider Identifier
1124217872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CRISPIN G. BOLISAY, MD APMC
- Practice address
- 1340 Poydras St
Suite 1850
New Orleans, LA 70112-1221 - Phone
- (504) 679-9901
- Fax
- (504) 679-9928
- NPI assigned
- Oct 18, 2007
- Organization subpart
- Yes
- Parent organization
- CRISPIN G. BOLISAY, MD APMC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Crispin G. Bolisay, MD
- Title
- President
- Phone
- (985) 646-0360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1340 Poydras St
Suite 1850
New Orleans, LA 70112-1221
Mailing address
105 Medical Center Dr
Suite 304
Slidell, LA 70461-5544
Phone (985) 646-0360
National Provider Directory
National Provider Directory- Part of
- Crispin G Bolisay MD Ap
Locations
105 Medical Center Dr
Ste 304
Slidell, LA 70461
Phone (504) 639-0699
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Nephrology Physician
- Slidell, LA
- NPI 1265497671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1230595200000",
"number": "1124217872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MEDICAL CENTER DR",
"address_2": "SUITE 304",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615544",
"telephone_number": "985-646-0360",
"fax_number": "985-646-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 POYDRAS ST",
"address_2": "SUITE 1850",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701121221",
"telephone_number": "504-679-9901",
"fax_number": "504-679-9928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISPIN G. BOLISAY, MD APMC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRISPIN G. BOLISAY, MD APMC",
"enumeration_date": "2007-10-18",
"last_updated": "2008-12-30",
"status": "A",
"authorized_official_last_name": "BOLISAY",
"authorized_official_first_name": "CRISPIN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "985-646-0360",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.