Organization Active NPI

Kidney & Hypertension Center, a Professional Corporation

  • Nephrology Physician
  • Houma, LA
National Provider Identifier
1326134669
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
07070R Issued in LA
Legal business name
KIDNEY & HYPERTENSION CENTER, A PROFESSIONAL CORPORATION
Practice address
906 Belanger St
Houma, LA 70360-4410
Phone
(985) 868-7454
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Herminio Suazo-Vasquez
Title
Physician
Phone
(985) 868-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 07070R LA Primary

Addresses

Primary practice location

906 Belanger St
Houma, LA 70360-4410

Mailing address

906 Belanger St
Houma, LA 70360-4410
Phone (985) 868-7454

Other identifiers 4

IdentifierTypeStateIssuer
3100041OtherLAUNITED HEALTHCARE OF LA
1362557MedicaidLA
5525574OtherLAAETNA
0426235300OtherLABLUE CROSS PROVIDER

National Provider Directory

National Provider Directory

Locations

906 Belanger St
Houma, LA 70360
Phone (504) 868-7454

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1326134669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604410",
            "telephone_number": "985-868-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604410",
            "telephone_number": "985-868-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY & HYPERTENSION CENTER, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "SUAZO-VASQUEZ",
        "authorized_official_first_name": "HERMINIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-868-7454"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "07070R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF LA",
            "identifier": "3100041",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1362557",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5525574",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "0426235300",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.