Individual provider Active NPI

Michael Joseph Schanzbach, CRNA

  • Certified Registered Nurse Anesthetist
  • Hammond, LA
National Provider Identifier
1447214713
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP02059 Issued in LA
Practice address
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone
(985) 230-6685
Fax
(985) 230-2173
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP02059 LA Primary

Addresses

Primary practice location

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

Mailing address

PO Box 2668
Hammond, LA 70404-2668
Phone (985) 230-6685

Other identifiers 2

IdentifierTypeStateIssuer
1913308MedicaidLA
430035502OtherRR MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Anesthesia LLC CurrentSince Mar 5, 2018 Accepting new patients
Northlake Endoscopy, LLC Current Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients
Parish Anesthesia of Monroe, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
North Oaks Medical Center, LLC Past Accepting new patients

Locations

16061 Doctors Blvd
Ste A
Hammond, LA 70403
Phone (985) 345-6090

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1447214713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2668",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042668",
            "telephone_number": "985-230-6685",
            "fax_number": "985-230-2173"
        },
        {
            "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": "985-230-6685",
            "fax_number": "985-230-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHANZBACH",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP02059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1913308",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "430035502",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.