SNG - St. Tammany Dialysis Center LP

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SNG - ST. TAMMANY DIALYSIS CENTER LP

Practice address

397 Highway 21 Ste 602
Madisonville, LA 70447-3407

Phone

(985) 792-5334

Fax

(985) 792-5234

NPI assigned

Oct 30, 2012

Organization subpart

No

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

Authorized official

Name

Kinam C. Martin

Title

Chief Operations Officer

Phone

(817) 725-7900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ponniah S Sankarapandian, MD

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1699767798
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174877138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-725-7900",
            "fax_number": "682-207-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 HIGHWAY 21 STE 602",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473407",
            "telephone_number": "985-792-5334",
            "fax_number": "985-792-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNG - ST. TAMMANY DIALYSIS CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KINAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "817-725-7900"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1622486",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "145",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Silvestri, PT
• Heather Jaet Simon, WHNP
• Ashley B Slater, MS CCC-SLP
• Sleep Well LLC
• George J Smith, MD
• Specialty Physicians, LLC
• St. Tammany Parish Hospital Service District No 1 (St. Tammany Hospital Hospice)
• St. Tammany Parish Hospital Service District No 1
• Kattie Staudermann, LCSW
• Holly Stewart, PHARMD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Madisonville, LA
• Providers in Madisonville, LA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.