NPIMap

Organization Active NPI

Gregory L Groglio MD a Professional Medical Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Slidell, LA
National Provider Identifier
1174842520
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
08643R Issued in LA
Legal business name
GREGORY L GROGLIO MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
1051 Gause Blvd
Suite 290
Slidell, LA 70458-2951
Phone
(985) 726-0026
Fax
(985) 726-0024
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Gregory Louis Groglio, MDNPI 1699791772
Title
President
Phone
(985) 726-0026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 08643R LA Primary

Addresses

Primary practice location

1051 Gause Blvd
Suite 290
Slidell, LA 70458-2951

Mailing address

857 Brownswitch Rd
Suite 313
Slidell, LA 70458-5335
Phone (985) 726-0026

National Provider Directory

National Provider Directory

Locations

1051 Gause Blvd
Ste 290
Slidell, LA 70458
Phone (985) 280-7456

857 Brownswitch Rd
Slidell, LA 70458
Phone (985) 445-4654

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1174842520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 BROWNSWITCH RD",
            "address_2": "SUITE 313",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585335",
            "telephone_number": "985-726-0026",
            "fax_number": "985-726-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 290",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-726-0026",
            "fax_number": "985-726-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L GROGLIO MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "GROGLIO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-726-0026",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "08643R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.