Active NPI
Lakeview Regional Physician Group LLC
- Pediatrics Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- LAKEVIEW REGIONAL PHYSICIAN GROUP LLC
- Practice address
- 130 Lakeview Circle
Covington, LA 70433-0001 - Phone
- (985) 892-6858
- Fax
- (866) 457-6080
- NPI assigned
- Aug 6, 2008
- Last updated
- Jun 9, 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
- Mr. John Rebok
- Title
- Group Vice President/Ao
- Phone
- (615) 377-5004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
130 Lakeview Circle
Covington, LA 70433-0001
Mailing address
PO Box 405453
Atlanta, GA 30384-5453
Phone (615) 373-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00837785 | Medicaid | MS | |
| 1384313 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
101 Judge Tanner Blvd
Ste 206A
Covington, LA 70433
Phone (985) 845-0004
71192 Highway 21
#100
Covington, LA 70433
Phone (985) 871-6020
73015 Highway 25
Ste A
Covington, LA 70435
Phone (985) 246-2420
2581 Florida St
Ste C
Mandeville, LA 70448
Phone (504) 644-4226
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Cardiovascular Disease Physician
- Covington, LA
- NPI 1881696086
-
- Physician Assistant
- Baton Rouge, LA
- NPI 1093717266
-
- Cardiovascular Disease Physician
- Bogalusa, LA
- NPI 1750383949
-
- Cardiovascular Disease Physician
- Hammond, LA
- NPI 1881696078
-
- Cardiovascular Disease Physician
- Covington, LA
- NPI 1629070826
-
- Clinical Nurse Specialist
- Baton Rouge, LA
- NPI 1588666762
-
- Nurse Practitioner
- Covington, LA
- NPI 1003818287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1285890467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405453",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845453",
"telephone_number": "615-373-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LAKEVIEW CIRCLE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704330001",
"telephone_number": "985-892-6858",
"fax_number": "866-457-6080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKEVIEW REGIONAL PHYSICIAN GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "REBOK",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "GROUP VICE PRESIDENT/AO",
"authorized_official_telephone_number": "615-377-5004",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00837785",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1384313",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Lakeshore Physical Therapy Contract Services, LLC
- Lakeshore Surgical Associates of la
- Lakeview Cardiology Specialists, LLC
- Lakeview Medical Center, LLC (Lakeview Regional Medical Center)
- Lakeview Medical Center, LLC (Lakeview Regional Medical Center)
- Lakeview Trauma and Critical Care, LLC
- Randy C. Lala, CSTFA
- Kristy Lalonde
- Joey A Lamartina II, MD
- Madison Lambert Dronet, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.