Active NPI
Oh Project- Northshore
- General Practice Physician
- Covington, LA
National Provider Identifier
1700354453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- OH PROJECT- NORTHSHORE
- Practice address
- 190 Greenbrier Blvd Ste 105
Covington, LA 70433-7237 - Phone
- (985) 276-3040
- NPI assigned
- Nov 9, 2018
- Last updated
- Nov 9, 2018
- Organization subpart
- Yes
- Parent organization
- OHANA HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyrone Luster
- Title
- Owner
- Phone
- (901) 626-2129
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | Primary | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | ||
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
190 Greenbrier Blvd Ste 105
Covington, LA 70433-7237
Mailing address
PO Box 957
Madisonville, LA 70447-0957
National Provider Directory
National Provider Directory- Part of
- Oh Project- Northshore
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Covington, LA
- NPI 1386891372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541721600000",
"number": "1700354453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 957",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704470957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 GREENBRIER BLVD STE 105",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337237",
"telephone_number": "985-276-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OH PROJECT- NORTHSHORE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OHANA HEALTHCARE",
"enumeration_date": "2018-11-09",
"last_updated": "2018-11-09",
"status": "A",
"authorized_official_last_name": "LUSTER",
"authorized_official_first_name": "TYRONE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-626-2129"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Ochsner Clinic, LLC (Ochsner St. Tammany Cancer Center)
- Ochsner Pharmacy and Wellness LLC (Ochsner Pharmacy and Wellness - Covington)
- Jessica Oddo
- Michael Chukwuemeka Ogbonna, PHARMD
- Omishan A Ogholoh, PHARM D
- Osarumen Okunbor, M.D.
- Esther Okyere
- Richard D Olinde, DDS
- Tiffany Oliver, PLPC
- Anna Olivier, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.