Northshore Oncology Associates, LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

NORTHSHORE ONCOLOGY ASSOCIATES, LLC

Practice address

1120 Robert Blvd
Ste 330
Slidell, LA 70458-2014

Phone

(985) 892-9090

Fax

(985) 892-9957

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi C Siemann

Title

Medical Staff SVCS Coordinator

Phone

(225) 215-1311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Dustin David Denicola, N.P.

  • Adult Health Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1073879508
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1609165711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LANE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-215-1311",
            "fax_number": "225-766-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ROBERT BLVD",
            "address_2": "STE 330",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582014",
            "telephone_number": "985-892-9090",
            "fax_number": "985-892-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE ONCOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SIEMANN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL STAFF SVCS COORDINATOR",
        "authorized_official_telephone_number": "225-215-1311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142089",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI MEDICAID",
            "identifier": "00938275",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northshore Hospitalists, LLC
• Northshore Incs, LLC
• Northshore Incs, LLC
• Northshore Incs, LLC
• Northshore Incs, LLC
• Northshore Pathology Services Apmc
• Northshore Physical Therapy
• Northshore Regional Medical Center Dba the Surgery Suite (The Surgery Suite)
• Northshore Regional Medical Center, LLC (NorthShore Regional Medical Center)
• Northshore Regional Medical Center, LLC (NorthShore Regional Medical Center)

• Hematology & Oncology Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Hematology & Oncology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.