Organization Active NPI

Northshore Oncology Associates, LLC

  • Hematology & Oncology Physician
  • Covington, LA
National Provider Identifier
1669821864
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
NORTHSHORE ONCOLOGY ASSOCIATES, LLC
Practice address
1203 S Tyler St Ste 230
Covington, LA 70433-2353
Phone
(985) 892-9090
Fax
(985) 892-9957
NPI assigned
Jun 8, 2016
Last updated
Aug 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Authorized official

Name
Jack E. Saux, MDNPI 1528023843
Title
Authorized Official
Phone
(985) 892-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary

Addresses

Primary practice location

1203 S Tyler St Ste 230
Covington, LA 70433-2353

Mailing address

4950 Essen LN
Attn Kristi Siemann
Baton Rouge, LA 70809-3738
Phone (225) 215-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000487 LA Part B Supplier - Clinic/Group Practice 0648454603 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Covington, LA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1203 S Tyler St
Ste 230
Covington, LA 70433
Phone (985) 614-7871

1120 Robert Blvd
Ste 330
Slidell, LA 70458
Phone (985) 280-8585

1120 Robert Blvd
Ste 390
Slidell, LA 70458
Phone (985) 280-6645

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1669821864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN",
            "address_2": "ATTN KRISTI SIEMANN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093738",
            "telephone_number": "225-215-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST STE 230",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9090",
            "fax_number": "985-892-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE ONCOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SAUX",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "985-892-9090",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.