NPIMap

Organization Active NPI

C W Krieger Jr a Professional Medical Corporation

  • Orthopaedic Surgery Physician
  • Slidell, LA
National Provider Identifier
1326210824
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
010738 Issued in LA
Legal business name
C W KRIEGER JR A PROFESSIONAL MEDICAL CORPORATION
Practice address
1150 Robert Blvd
Suite 190
Slidell, LA 70458-2004
Phone
(985) 646-3664
Fax
(985) 646-3683
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Dr. Charles W. Krieger Jr., M.D.
Title
Physician/Owner
Phone
(985) 646-3664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 010738 LA Primary

Addresses

Primary practice location

1150 Robert Blvd
Suite 190
Slidell, LA 70458-2004

Mailing address

PO Box 1819
Slidell, LA 70459-1819
Phone (985) 646-3664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1326210824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704591819",
            "telephone_number": "985-646-3664",
            "fax_number": "985-646-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD",
            "address_2": "SUITE 190",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582004",
            "telephone_number": "985-646-3664",
            "fax_number": "985-646-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C W KRIEGER JR A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-646-3664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "010738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.