Active NPI
Southern Medical Development
- Neonatal-Perinatal Medicine Physician
- Covington, LA
National Provider Identifier
1619970001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 05681R
- Legal business name
- SOUTHERN MEDICAL DEVELOPMENT
- Practice address
- 95 E Fairway Dr
Covington, LA 70433-7500 - Phone
- (985) 867-3800
- NPI assigned
- May 31, 2005
- 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
- Alberto Suarez, M.D.
- Title
- Owner
- Phone
- (985) 867-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 05681R | LA | Primary |
Addresses
Primary practice location
95 E Fairway Dr
Covington, LA 70433-7500
Mailing address
120 Innwood Dr
Covington, LA 70433-9123
Phone (985) 892-3225
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neonatal-Perinatal Medicine Physician
- Covington, LA
- NPI 1871596189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256860800000",
"number": "1619970001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 INNWOOD DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704339123",
"telephone_number": "985-892-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 E FAIRWAY DR",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337500",
"telephone_number": "985-867-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL DEVELOPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2009-10-30",
"status": "A",
"authorized_official_last_name": "SUAREZ",
"authorized_official_first_name": "ALBERTO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "985-867-3800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "LA",
"license": "05681R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Scott M Sondes, M.D.
- Brett Vance Sorensen, D.P.M.
- Southeast Louisiana Home Health, LLC
- Southern Bariatric Associates
- Southern Institute for Women'S Sexual Health
- Southern Pathology a Professional Medical Corporation
- Southern Pathology, a Professional Medical Corporation
- Southern Pulmonary and Sleep, LLC
- Southern Sleep Institute, LLC
- Blake Sowers, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.