Active NPI
St. Bernard Emergency Group, LLC
- Emergency Medicine Physician
- Chalmette, LA
National Provider Identifier
1306386685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- ST. BERNARD EMERGENCY GROUP, LLC
- Practice address
- 8000 W Judge Perez Dr
Chalmette, LA 70043-1668 - Phone
- (504) 826-9500
- NPI assigned
- Mar 6, 2017
- 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 | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
8000 W Judge Perez Dr
Chalmette, LA 70043-1668
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 567451 | Other | LA | MEDICARE OF LOUISIANA |
| 2441418 | 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 100
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.
-
- Emergency Medicine Physician
- Chalmette, LA
- NPI 1609510676
-
- Emergency Medicine Physician
- New Orleans, LA
- NPI 1841296258
-
- Family Nurse Practitioner
- Gretna, LA
- NPI 1285185462
-
- Family Nurse Practitioner
- Bogalusa, LA
- NPI 1790450773
-
- Family Nurse Practitioner
- Chalmette, LA
- NPI 1932541885
Multi-Specialty
-
- Emergency Medicine Physician
- Chalmette, LA
- NPI 1194288506
-
- Physician Assistant
- Chalmette, LA
- NPI 1962391789
-
- Emergency Medicine Physician
- Houma, LA
- NPI 1225069263
-
- Emergency Medicine Physician
- Marrero, LA
- NPI 1740556000
-
- Family Medicine Physician
- Harvey, LA
- NPI 1740634740
-
- Family Nurse Practitioner
- Marrero, LA
- NPI 1013469022
-
- Medical Physician Assistant
- Chalmette, LA
- NPI 1154137305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1306386685",
"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",
"fax_number": "337-262-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 W JUDGE PEREZ DR",
"city": "CHALMETTE",
"state": "LA",
"postal_code": "700431668",
"telephone_number": "504-826-9500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. BERNARD EMERGENCY GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-06",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE OF LOUISIANA",
"identifier": "567451",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2441418",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chalmette, LA
- Cory Neal Soileau, DC
- Southern Emergency Medical LLC (Southern Emergency Medical)
- Jeremy Speed
- Kristle Spicuzza
- St Bernard Pharmaceutical (Mumfreys Pharmacy)
- St. Bernard Open MRI & Imaging Center LLC (Parish Imaging)
- St. Bernard Parish Adult Drug Court, Inc.
- St. Bernard Parish School Board
- St. Bernard Parish School Board
- St. Bernard Physical Therapy Clinic, Inc.
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.