Active NPI
Cardiology Institute, Inc
- Cardiovascular Disease Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOLOGY INSTITUTE, INC
- Practice address
- 1051 Gause Blvd
320
Slidell, LA 70458-2951 - Phone
- (985) 641-7577
- Fax
- (985) 643-0826
- NPI assigned
- Aug 9, 2006
- Last updated
- Mar 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Yasser Kahled
- Title
- Chief Administrative Officer
- Phone
- (985) 649-1152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
1051 Gause Blvd
320
Slidell, LA 70458-2951
Mailing address
1051 Gause Blvd
320
Slidell, LA 70458-2951
Phone (985) 641-7577
Other practice location 1
1839 Cooper Rd Ste 100
Picayune, MS 39466-2835
Phone (601) 651-3500
Other practice location 2
64040 Highway 434 Ste 105
LaCombe, LA 70445-3499
Phone (985) 882-3261
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013682 | Medicaid | MS | |
| 1942073 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
64040 Highway 434
Ste 105
Lacombe, LA 70445
Phone (985) 882-3261
1051 Gause Blvd
Ste 320
Slidell, LA 70458
Phone (985) 641-7577
4540 Shepherd Sq
#C
Diamondhead, MS 39525
Phone (228) 255-8526
4507 15th St
Gulfport, MS 39501
Phone (228) 575-1834
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.
-
- Cardiovascular Disease Physician
- Slidell, LA
- NPI 1508869934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1568472595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD",
"address_2": "320",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582951",
"telephone_number": "985-641-7577",
"fax_number": "985-643-0826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD",
"address_2": "320",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582951",
"telephone_number": "985-641-7577",
"fax_number": "985-643-0826"
}
],
"practiceLocations": [
{
"address_1": "1839 Cooper Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Picayune",
"state": "MS",
"postal_code": "394662835",
"country_code": "US",
"telephone_number": "601-651-3500",
"fax_number": "985-643-0826",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "64040 Highway 434 Ste 105",
"address_purpose": "LOCATION",
"city": "LaCombe",
"state": "LA",
"postal_code": "704453499",
"country_code": "US",
"telephone_number": "985-882-3261",
"fax_number": "985-882-6828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CARDIOLOGY INSTITUTE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "KAHLED",
"authorized_official_first_name": "YASSER",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "985-649-1152",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09013682",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942073",
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.