Organization Active NPI

Crispin G. Bolisay, MD Apmc

  • Nephrology Physician
  • New Orleans, LA
National Provider Identifier
1124217872
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
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 APMCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.