Organization Active NPI

Edward St. Martin, Jr., M.D., Siddharth K. Bhansali, M.D., Olle Kjellg

  • Cardiovascular Disease Physician
  • New Orleans, LA
National Provider Identifier
1497747539
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EDWARD ST. MARTIN, JR., M.D., SIDDHARTH K. BHANSALI, M.D., OLLE KJELLG
Practice address
2633 Napoleon Ave
Suite 500
New Orleans, LA 70115-6357
Phone
(504) 897-9687
Fax
(504) 899-9351
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Kurt Schlotterer
Title
Office Manager
Phone
(504) 897-9687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2633 Napoleon Ave
Suite 500
New Orleans, LA 70115-6357

Mailing address

2633 Napoleon Ave
Suite 500
New Orleans, LA 70115-6357
Phone (504) 897-9687

Other identifiers 1

IdentifierTypeStateIssuer
1793698MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1497747539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-897-9687",
            "fax_number": "504-899-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 500",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-897-9687",
            "fax_number": "504-899-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD ST. MARTIN, JR., M.D., SIDDHARTH K. BHANSALI, M.D., OLLE KJELLG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "SCHLOTTERER",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-897-9687"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793698",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.