NPIMap

Organization Active NPI

St Tammany Anesthesia Group

  • Anesthesiology Physician
  • Metairie, LA
National Provider Identifier
1154486355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST TAMMANY ANESTHESIA GROUP
Practice address
4324 Veterans Blvd
Eyecare Associates
Metairie, LA 70006
Phone
(504) 455-4046
Fax
(504) 455-9890
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kermit L Roux, MD
Title
Head Anesthesialogist
Phone
(504) 309-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4324 Veterans Blvd
Eyecare Associates
Metairie, LA 70006

Mailing address

PO Box 113327
Metairie, LA 70011
Phone (504) 309-4211

Other identifiers 1

IdentifierTypeStateIssuer
1445363MedicaidLA

National Provider Directory

National Provider Directory

Locations

42144 Veterans Ave
Hammond, LA 70403
Phone (504) 542-6344

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154486355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113327",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70011",
            "telephone_number": "504-309-4211",
            "fax_number": "504-309-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4324 VETERANS BLVD",
            "address_2": "EYECARE ASSOCIATES",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-455-4046",
            "fax_number": "504-455-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROUX",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "HEAD ANESTHESIALOGIST",
        "authorized_official_telephone_number": "504-309-4211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445363",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.