Active NPI
North Oaks Physician Group, LLC
Doing business as Northshore ENT Clinic
- Otolaryngology Physician
- Hammond, LA
National Provider Identifier
1215290796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- NORTH OAKS PHYSICIAN GROUP, LLC
- Doing business as
- Northshore ENT Clinic
- Practice address
- 42401 Pelican Professional Park
Hammond, LA 70403-2405 - Phone
- (985) 542-9155
- Fax
- (985) 542-9133
- NPI assigned
- Jun 20, 2012
- Last updated
- Aug 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shirley Hsing
- Title
- Sr. V.P. / C.F.O.
- Phone
- (985) 230-6655
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
42401 Pelican Professional Park
Hammond, LA 70403-2405
Mailing address
PO Box 1608
Hammond, LA 70404-1608
Phone (985) 542-9155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447587 | Medicaid | LA |
Other names 1
- Northshore ENT Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba North Oaks Urgent Care Clinic
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1144817487
O20121012000490
-
dba North Oaks Physician Group
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
O20121012000490
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1215290796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041608",
"telephone_number": "985-542-9155",
"fax_number": "985-542-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42401 PELICAN PROFESSIONAL PARK",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704032405",
"telephone_number": "985-542-9155",
"fax_number": "985-542-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH OAKS PHYSICIAN GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-20",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "HSING",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_title_or_position": "SR. V.P. / C.F.O.",
"authorized_official_telephone_number": "985-230-6655",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447587",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northshore ENT Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
- North Oaks Obstetrics & Gynecology
- North Oaks Obstetrics & Gynecology
- North Oaks Pediatric Clinic, L.L.P.
- North Oaks Physician Group, LLC (North Oaks Eye Care Clinic)
- North Oaks Physician Group, LLC (North Oaks Urgent Care Clinic)
- North Oaks Physician Group, LLC (North Oaks Orthopedic Clinic)
- North Oaks Physician Group, LLC (North Oaks Physician Group)
- North Oaks Physician Group, LLC (Plaza Orthopedic Clinic)
- North Oaks Rehabilitation Hospital, LLC
- Northlake Counseling and Consulting, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.