Individual provider Active NPI

Angie Rhett Sassard, MD

  • Surgery Physician
  • Metairie, LA
National Provider Identifier
1659485126
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12343R Issued in LA
Practice address
3901 Houma Blvd
Ste 500
Metairie, LA 70006-2930
Phone
(504) 885-4833
Fax
(504) 888-3132
NPI assigned
Aug 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12343R LA Primary

Addresses

Primary practice location

3901 Houma Blvd
Ste 500
Metairie, LA 70006-2930

Mailing address

3901 Houma Blvd
Ste 500
Metairie, LA 70006-2930
Phone (504) 885-4833

Other identifiers 1

IdentifierTypeStateIssuer
1485691MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000229 LA Practitioner - General Surgery 3173651130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12343RLAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring ENT, L.L.C. PastSince Dec 6, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d20e093f-31a9-4605-82c5-86f95f98be05/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659485126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD",
            "address_2": "STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-885-4833",
            "fax_number": "504-888-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD",
            "address_2": "STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-885-4833",
            "fax_number": "504-888-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSARD",
        "first_name": "ANGIE",
        "middle_name": "RHETT",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "12343R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.