SBS Iom, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

SBS IOM, LLC

Practice address

320 E Napoleon St #226
Sulphur, LA 70663-3318

Phone

(504) 215-8179

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Lizette Morin

Title

MDMS Npi Compliance Office

Phone

(210) 598-2801

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1336630342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NAPOLEON ST #226",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633318",
            "telephone_number": "504-215-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E NAPOLEON ST #226",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706633318",
            "telephone_number": "504-215-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBS IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICE",
        "authorized_official_telephone_number": "210-598-2801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia L Rodgers, M.D.
• Isaac Rodriguez
• Mildred Michelle Rodriguez, MS, LPC, LMFT-A, CSC
• Roger Glen Grimball Jr. D.D.S. LLC
• Russell K Benevage
• Emily Callens Scuderi, FNP
• Morgan Michele Seaford, APRN
• Taylor Ann Shirley
• Brook Shiyou, MA, BCBA
• Kennetha L Simien, NP

• Clinical Neurophysiology Physician in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Clinical Neurophysiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.