Organization Active NPI

North Oaks Physician Group, LLC

Doing business as Northshore ENT Clinic

  • Otolaryngology Physician
  • Hammond, LA
National Provider Identifier
1215290796
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1447587MedicaidLA

Other names 1

  • Northshore ENT Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.