Active NPI
Charles Allen Preston, MD
- Emergency Medicine Physician
- Slidell, LA
National Provider Identifier
1639287659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 018284
- Practice address
- 985 Robert Blvd
Suite 101
Slidell, LA 70458-2063 - Phone
- (985) 960-8300
- Fax
- (985) 690-8301
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 018284 | LA | Primary |
Addresses
Primary practice location
985 Robert Blvd
Suite 101
Slidell, LA 70458-2063
Mailing address
985 Robert Blvd
Ste 101
Slidell, LA 70458-2063
Phone (985) 690-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1444570 | Medicaid | LA | |
| G5067 | Other | LA | BCBS LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100617000728 | LA | Practitioner - Emergency Medicine | 6709916117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018284 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Medical Center | Past | Accepting new patients | |
| Ear, Nose, Throat Clinic of Slidell | Past | Accepting new patients | |
| Van Meter MD & Associates | Past | Accepting new patients | |
| ER Professional Fee Billing C/O Slidell Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Slidell, LA
- NPI 1679899777
-
- Speech-Language Pathologist
- New Orleans, LA
- NPI 1588737803
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
-
- Emergency Medical Services (Emergency Medicine) Physician
- Universal City, TX
- NPI 1700815867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1639287659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 ROBERT BLVD",
"address_2": "STE 101",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582063",
"telephone_number": "985-690-8300",
"fax_number": "985-847-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "985 ROBERT BLVD",
"address_2": "SUITE 101",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582063",
"telephone_number": "985-960-8300",
"fax_number": "985-690-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "CHARLES",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "018284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1444570",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LA",
"identifier": "G5067",
"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 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.