NPIMap

Individual provider Active NPI

Golam Daud Noaz, M.D.

  • Family Medicine Physician
  • Bogalusa, LA
National Provider Identifier
1679816235
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
303240 Issued in LA
Practice address
617 Avenue F
Bogalusa, LA 70427-3637
Phone
(985) 545-1070
Fax
(985) 545-1071
NPI assigned
Apr 2, 2013
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 303240 LA Primary

Addresses

Primary practice location

617 Avenue F
Bogalusa, LA 70427-3637

Mailing address

617 Avenue F
Bogalusa, LA 70427-3637
Phone (985) 545-7010

Other practice location 1

433 Plaza St Ste 1A
Bogalusa, LA 70427-3729
Phone (985) 730-6970

Other practice location 2

1810 Lindberg Dr Ste 14
Slidell, LA 70458-8157
Phone (985) 646-0945

Other practice location 3

420 Avenue F
Bogalusa, LA 70427-3200
Phone (985) 732-0058

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address golam.noaz@fmolhs.org Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822000516 LA Practitioner - Family Practice 2466752399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Ave F
Bogalusa, LA 70427-3634
Phone (985) 730-6706

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

617 Ave F
Bogalusa, LA 70427-3637
Phone (985) 730-6706

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
Our Lady of the Angels Hospital, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Our Lady of the Angels Hospital, Inc. Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients

Locations

420 Avenue F
Bogalusa, LA 70427
Phone (985) 730-6970

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

433 Plaza St
Ste 1A
Bogalusa, LA 70427
Phone (985) 730-6970

617 Avenue F
Bogalusa, LA 70427
Phone (985) 545-1070

Interoperability endpoints

  • Direct secure messaging: gnoaz12774@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1679816235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273637",
            "telephone_number": "985-545-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273637",
            "telephone_number": "985-545-1070",
            "fax_number": "985-545-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Lindberg Dr Ste 14",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704588157",
            "country_code": "US",
            "telephone_number": "985-646-0945",
            "fax_number": "985-643-8510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273200",
            "country_code": "US",
            "telephone_number": "985-732-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOAZ",
        "first_name": "GOLAM",
        "middle_name": "DAUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "303240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "golam.noaz@fmolhs.org",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "golam.noaz@fmolhs.org",
            "address_1": "617 Avenue F",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "617 Avenue F",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.