Active NPI
St. John Emergency Group LLC
- Emergency Medicine Physician
- La Place, LA
National Provider Identifier
1265401509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ST. JOHN EMERGENCY GROUP LLC
- Practice address
- 500 Rue de Sante
La Place, LA 70068-5418 - Phone
- (985) 652-7000
- NPI assigned
- Mar 17, 2006
- Last updated
- Mar 23, 2022
- 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
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary | |
| Medical Physician Assistant | 363AM0700X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
500 Rue de Sante
La Place, LA 70068-5418
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1444120 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 151
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1265401509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE SANTE",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700685418",
"telephone_number": "985-652-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHN EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "FALK",
"authorized_official_first_name": "LISHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP OF CONTRACTING",
"authorized_official_telephone_number": "337-609-1221"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1444120",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Place, LA
- St. Catherine's Hospice, LLC (St. Catherine's Hospice)
- St. Catherine's Hospice, LLC (St. Catherine's Palliative Care)
- St. James Primary Care (Apmc) (St. James Primary Care, Laplace)
- St. John Arc
- St. John Association for Retarded Citizens
- St. John Parish School System
- St. John Physical Therapy, LLC
- St. John Physical Therapy, LLC
- St. John the Baptist Parish School System
- Stat Home Health, L.L.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.