Organization Active NPI

Westside Ear, Nose & Throat

  • Specialist
  • Plaquemine, LA
National Provider Identifier
1407067820
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD.021089 Issued in LA
Legal business name
WESTSIDE EAR, NOSE & THROAT
Practice address
59325 River West Drive
Suite C
Plaquemine, LA 70764
Phone
(225) 687-4477
Fax
(225) 687-9797
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael D Dileo, M.D.
Title
Owner
Phone
(225) 687-4477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD.021089 LA Primary

Addresses

Primary practice location

59325 River West Drive
Suite C
Plaquemine, LA 70764

Mailing address

59325 River West Drive
Suite C
Plaquemine, LA 70764
Phone (225) 687-4477

Other identifiers 1

IdentifierTypeStateIssuer
1974382MedicaidLA

National Provider Directory

National Provider Directory

Locations

59325 River West Dr
#C
Plaquemine, LA 70764
Phone (225) 687-4477

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407067820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59325 RIVER WEST DRIVE",
            "address_2": "SUITE C",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-687-4477",
            "fax_number": "225-687-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59325 RIVER WEST DRIVE",
            "address_2": "SUITE C",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "70764",
            "telephone_number": "225-687-4477",
            "fax_number": "225-687-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE EAR, NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILEO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-687-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD.021089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1974382",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.