Organization Active NPI

North Oaks Physician Group, LLC

  • Urgent Care Clinic/Center
  • Hammond, LA
National Provider Identifier
1144817487
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NORTH OAKS PHYSICIAN GROUP, LLC
Practice address
1900 S Morrison Blvd Ste a
Hammond, LA 70403-5742
Phone
(985) 230-5726
Fax
(985) 230-5691
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Mark T Anderson
Title
Chief Financial Officer
Phone
(985) 230-6602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1900 S Morrison Blvd Ste a
Hammond, LA 70403-5742

Mailing address

PO Box 3087
Hammond, LA 70404-3087
Phone (985) 230-3668

Other practice location 1

530 W Pine St Ste 1
Ponchatoula, LA 70454-3780
Phone (985) 370-5656

Other practice location 2

28050 Walker Rd S Ste L
Walker, LA 70785-6047
Phone (225) 664-2111

Other names 1

  • North Oaks Urgent Care Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000490 LA Part B Supplier - Clinic/Group Practice 9133378870 Receives reassigned benefits from 224 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hammond, LA; Independence, LA; Livingston, LA; Ponchatoula, LA; Walker, LA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1011537North Oaks Urgent Care Hammond/Occupational Health1900 South Morrison Blvd, Hammond, LA 70403Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

1900 S Morrison Blvd
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 401A
Hammond, LA 70403
Phone (985) 230-1580

15813 Paul Vega Md Dr
#201A
Hammond, LA 70403
Phone (985) 230-7870

15770 Paul Vega Md Dr
#204A
Hammond, LA 70403

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1144817487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-3668",
            "fax_number": "985-370-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MORRISON BLVD STE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035742",
            "telephone_number": "985-230-5726",
            "fax_number": "985-230-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 W Pine St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Ponchatoula",
            "state": "LA",
            "postal_code": "704543780",
            "country_code": "US",
            "telephone_number": "985-370-5656",
            "fax_number": "985-370-5691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Walker Rd S Ste L",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "LA",
            "postal_code": "707856047",
            "country_code": "US",
            "telephone_number": "225-664-2111",
            "fax_number": "225-664-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH OAKS PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-230-6602"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oaks Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Oaks Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 2022; 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.

Verify at the official NPI Registry.