Heart Clinic of Hammond

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11934R Issued in LA

Legal business name

HEART CLINIC OF HAMMOND

Practice address

16033 Doctors Blvd
Hammond, LA 70403-1479

Phone

(985) 974-9278

Fax

(985) 542-6341

NPI assigned

Jan 19, 2011

Organization subpart

No

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

Authorized official

Name

Ghiath Mikdadi, M.D.NPI 1881696078

Title

Managing Member

Phone

(225) 270-2733

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3142/brand/1/csg/1/fhir/r4

Practitioners 7

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

• Ghiath M Mikdadi, M.D.

  • Cardiovascular Disease Physician
  • Hammond, LA
  • NPI 1881696078
  Medicare reassignment Care Compare group NPD Authorized official
• Erickia Lee Le Meunier, NP

  • Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1548784192
  Medicare reassignment Care Compare group NPD (past)
• Charlie Penny Shelton, FNP-C

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1861787954
  Medicare reassignment Care Compare group NPD (past)
• Karla D Gorio, PA-C

  • Medical Physician Assistant
  • Baton Rouge, LA
  • NPI 1750613345
  Medicare reassignment Care Compare group
• Gina Marie Mixon, FNP-C

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1558712570
  NPD
• Frank J Arena, M.D.

  • Interventional Cardiology Physician
  • Covington, LA
  • NPI 1689671232

  Cardiovascular Disease

  NPD (past)
• Ali H Reza, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1598723538
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1598060733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16033 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031479",
            "telephone_number": "985-974-9278",
            "fax_number": "985-542-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16033 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031479",
            "telephone_number": "985-974-9278",
            "fax_number": "985-542-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CLINIC OF HAMMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "MIKDADI",
        "authorized_official_first_name": "GHIATH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-270-2733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "11934R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142976",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healing Health Center of Hammond L.L.C.
• Health Resource LLC
• Health Specialists for Women
• David Mark Heap, PT
• Karen Elizabeth Heap, PT
• Heart to Heart Counseling & Counseling
• Heather M Zinna, LCSW, LLC
• Alex Paul Hebert
• Mackenzie Pagie Ann Hebert
• Rae Hebert

• Cardiovascular Disease Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.