North Oaks Physician Group, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

000 Issued in LA

Legal business name

NORTH OAKS PHYSICIAN GROUP, LLC

Doing business as

North Oaks Physician Group

Practice address

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Phone

(985) 230-3653

Fax

(985) 370-7409

NPI assigned

Dec 22, 2005

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Anderson

Title

Cfo

Phone

(985) 230-6602

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Oaks Physician Group Doing business as

Medicare fee-for-service enrollment

Enrolled in LA, PR, VA, TX4 enrollments

Enrollment records 4

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Oaks Physician Group, LLC

  dba North Oaks Urgent Care Clinic

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1144817487

  O20121012000490

  Same enrollment
• North Oaks Physician Group, LLC

  dba Northshore ENT Clinic

  • Otolaryngology Physician
  • Hammond, LA
  • NPI 1215290796

  O20121012000490

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospital Service District No. 1

  dba North Oaks Orthopedic Clinic

  • Medical Specialty Clinic/Center
  • Hammond, LA
  • NPI 1427131655

  Member Of

  NPD member

Locations (25 of 39)

Practitioners 237

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.

• Jennifer Claire Arnoult, AUD, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Hammond, LA
  • NPI 1043048879
  Medicare reassignment Care Compare group NPD
• Hannah Bergeron Bass, APRN, FNP

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1407636798
  Medicare reassignment Care Compare group NPD
• Brandi Sparks Basso, M.D.

  • Family Medicine Physician
  • Livingston, LA
  • NPI 1154590842
  Medicare reassignment Care Compare group NPD
• Tiffany Billiot, APRN

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1154806586
  Medicare reassignment Care Compare group NPD
• Ashley Pinion Bratton, APRN, FNP

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1003231085
  Medicare reassignment Care Compare group NPD
• Natalie B Bratton, FNP

  • Family Nurse Practitioner
  • Franklinton, LA
  • NPI 1740783042
  Medicare reassignment Care Compare group NPD
• Pauline E Burrall, N.P.

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1881992568
  Medicare reassignment Care Compare group NPD
• Michelle Marie Civello, N.P.

  • Family Nurse Practitioner
  • Walker, LA
  • NPI 1396051868
  Medicare reassignment Care Compare group NPD
• Kimberly Roshelle Coney, FNP

  • Nurse Practitioner
  • Roseland, LA
  • NPI 1124638036
  Medicare reassignment Care Compare group NPD
• Amber Delasalle, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hammond, LA
  • NPI 1538816616
  Medicare reassignment Care Compare group NPD
• Christine Dominguez

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1124415872
  Medicare reassignment Care Compare group NPD
• Michael Allen Drapcho, M.D.

  • Family Medicine Physician
  • Hammond, LA
  • NPI 1316981475
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1427035211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3087",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704043087",
            "telephone_number": "985-230-3653",
            "fax_number": "985-370-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031434",
            "telephone_number": "985-230-3653",
            "fax_number": "985-370-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OAKS PHYSICIAN GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "985-230-6602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "LA",
            "license": "000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Oaks Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Oaks Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Oaks Pediatric Clinic, L.L.P.
• North Oaks Physician Group, LLC (North Oaks Eye Care Clinic)
• North Oaks Physician Group, LLC (North Oaks Urgent Care Clinic)
• North Oaks Physician Group, LLC (Northshore ENT Clinic)
• North Oaks Physician Group, LLC (North Oaks Orthopedic Clinic)
• North Oaks Physician Group, LLC (Plaza Orthopedic Clinic)
• North Oaks Rehabilitation Hospital, LLC
• Northlake Counseling and Consulting, LLC
• Northlake Endoscopy, LLC
• Northlake Gastroenterology

• Multi-Specialty Clinic/Center in Hammond, LA
• Providers in Hammond, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.