NPIMap

Organization Active NPI

St Charles Parish Hospital

Doing business as St Charles Parish Hospital Medical Staff

  • Hospitalist Physician
  • Luling, LA
National Provider Identifier
1164738126
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
151 Issued in LA
Legal business name
ST CHARLES PARISH HOSPITAL
Doing business as
St Charles Parish Hospital Medical Staff
Practice address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone
(985) 785-6242
Fax
(985) 785-3686
NPI assigned
Aug 27, 2010
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Mr. Federico Martinez
Title
Ceo
Phone
(985) 785-6242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 151 LA Primary

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070-4349

Mailing address

1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242

Other identifiers 2

IdentifierTypeStateIssuer
NJ0797OtherLABLUE CROSS BLUE SHEILD
04845OtherLABLUE CROSS BLUE SHIELD

Other names 1

  • St Charles Parish Hospital Medical Staff Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospital Service Dist No 1 of the Parish of St Charles State of la8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1164738126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-6242",
            "fax_number": "985-785-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-6242",
            "fax_number": "985-785-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CHARLES PARISH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FEDERICO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-785-6242",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "NJ0797",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04845",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Parish Hospital Medical Staff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.