Active NPI
Northshore Rheumatology, L.L.C.
- Specialist
- Covington, LA
National Provider Identifier
1326236803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13304R
- Legal business name
- NORTHSHORE RHEUMATOLOGY, L.L.C.
- Practice address
- 202 Highland Park PLZ
Covington, LA 70433-7129 - Phone
- (985) 871-9453
- Fax
- (985) 871-9177
- NPI assigned
- Oct 9, 2007
- Organization subpart
- Yes
- Parent organization
- NORTHSHORE RHEUMATOLOGY, L.L.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Zara J Casborn
- Title
- Office Manager
- Phone
- (985) 871-9453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13304R | LA | Primary |
Addresses
Primary practice location
202 Highland Park PLZ
Covington, LA 70433-7129
Mailing address
202 Highland Park PLZ
Covington, LA 70433-7129
Phone (985) 871-9453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1422207 | Medicaid | LA |
National Provider Directory
National Provider Directory- Part of
- Northshore Rheumatology LLC
Locations
202 Highland Park Plz
Covington, LA 70433
Phone (985) 871-9453
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Rheumatology Physician
- Chalmette, LA
- NPI 1497755524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191888000000",
"number": "1326236803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 HIGHLAND PARK PLZ",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337129",
"telephone_number": "985-871-9453",
"fax_number": "985-871-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 HIGHLAND PARK PLZ",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337129",
"telephone_number": "985-871-9453",
"fax_number": "985-871-9177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHSHORE RHEUMATOLOGY, L.L.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTHSHORE RHEUMATOLOGY, L.L.C.",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A",
"authorized_official_last_name": "CASBORN",
"authorized_official_first_name": "ZARA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "985-871-9453",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "13304R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1422207",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Northshore Interventional Pain MGMT., Apmc (True Imaging)
- Northshore Kids Therapy
- Northshore Oncology Associates, LLC
- Northshore Oncology Associates, LLC
- Northshore Psychiatric Care (James Sholtz)
- Northshore Surgical Center, LLC
- Northshore Surgical Specialists LLC
- Nrlcl II
- Kelly Null, PHARMD.
- Catherine Ann Nungesser
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.