NPIMap

Organization Active NPI

St Tammany Community Health Center

  • Pediatrics Physician
  • Slidell, LA
National Provider Identifier
1477644359
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD10981R Issued in LA
Legal business name
ST TAMMANY COMMUNITY HEALTH CENTER
Practice address
1340 14TH St
Slidell, LA 70458-2944
Phone
(985) 649-8775
Fax
(985) 649-8703
NPI assigned
Sep 27, 2006
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ST CHARLES COMMUNITY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Dr. Madhuri Dixit, MDNPI 1912902867
Title
MD
Phone
(985) 785-5852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD10981R LA Primary

Addresses

Primary practice location

1340 14TH St
Slidell, LA 70458-2944

Mailing address

843 Milling Ave
Luling, LA 70070-4442
Phone (985) 785-5852

Other identifiers 5

IdentifierTypeStateIssuer
1925349MedicaidLA
1444642MedicaidLA
1579483MedicaidLA
1452904MedicaidLA
1945421MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Access Health Louisiana89 organizations share this tax ID, including this one
Part of
Access Health Louisiana

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1477644359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5852",
            "fax_number": "985-785-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 14TH ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582944",
            "telephone_number": "985-649-8775",
            "fax_number": "985-649-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CHARLES COMMUNITY HEALTH CENTER",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "DIXIT",
        "authorized_official_first_name": "MADHURI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "985-785-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD10981R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1925349",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444642",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1579483",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452904",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1945421",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.