NPIMap

Organization Active NPI

St. Tammany Parish Hospital Service District No 1

  • Cardiovascular Disease Physician
  • Covington, LA
National Provider Identifier
1508097874
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1
Practice address
1006 S Harrison St
Covington, LA 70433-3661
Phone
(985) 871-4140
Fax
(985) 871-4150
NPI assigned
Aug 4, 2009
Organization subpart
Yes
Parent organization
ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Joan Coffman
Title
President/Ceo
Phone
(985) 898-4000

Specialties & licenses 1

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

Addresses

Primary practice location

1006 S Harrison St
Covington, LA 70433-3661

Mailing address

PO Box 669379
Dallas, TX 75266-9379
Phone (985) 871-4140

Other identifiers 1

IdentifierTypeStateIssuer
2129651MedicaidLA

Other names 1

  • Covington Cardiovascular Care at St. Tammany Parish Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406000728 LA Part B Supplier - Clinic/Group Practice 0749273761 Receives reassigned benefits from 69 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA; Folsom, LA

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Joan D Curtis MD10 organizations share this tax ID, including this one
Part of
Joan D Curtis MD

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1508097874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669379",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752669379",
            "telephone_number": "985-871-4140",
            "fax_number": "985-871-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S HARRISON ST",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333661",
            "telephone_number": "985-871-4140",
            "fax_number": "985-871-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1",
        "enumeration_date": "2009-08-04",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "985-898-4000"
    },
    "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": "2129651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Cardiovascular Care at St. Tammany Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covington Cardiovascular Care at St. Tammany Parish Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.