Northlake Interventional Pain Management, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC

Practice address

985 Robert Blvd
Suite 105
Slidell, LA 70458-2063

Phone

(985) 690-8335

Fax

(985) 690-8334

NPI assigned

Apr 18, 2008

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis N Hernandez, M.D.

Title

Owner

Phone

(985) 690-8335

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1306010566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54056",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544056",
            "telephone_number": "985-690-8335",
            "fax_number": "985-690-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 ROBERT BLVD",
            "address_2": "SUITE 105",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582063",
            "telephone_number": "985-690-8335",
            "fax_number": "985-690-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-690-8335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northlake Anesthesiologists, a Professional Corporation
• Northlake Cardiology Associates, Inc.
• Northlake Cardiology Diagnostics LLC
• Northlake Eye Center, Apmc
• Northlake Hematology/Oncology Associates
• Northlake Oral and Facial Surgery LLC
• Northlake Primary Care
• Northlake Radiology Consultants, Apmc
• Northland Hearing Centers Inc (Sears Hearing Aid Centers)
• Northland Hearing Centers, Inc. (Audibel Hearing Healthcare)

• Interventional Pain Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.