NPIMap

Organization Active NPI

ER Professional Fee Billing C/O Slidell Memorial Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Universal City, TX
National Provider Identifier
1700815867
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
ER PROFESSIONAL FEE BILLING C/O SLIDELL MEMORIAL HOSPITAL
Practice address
300 Kitty Hawk Rd
Universal City, TX 78148-3906
Phone
(210) 566-5555
Fax
(210) 566-2287
NPI assigned
Jul 1, 2006
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Mr. Bill Davis
Title
Chief Financial Officer
Phone
(985) 649-8504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

300 Kitty Hawk Rd
Universal City, TX 78148-3906

Mailing address

300 Kitty Hawk Rd
Universal City, TX 78148-3906
Phone (210) 566-5555

Other identifiers 1

IdentifierTypeStateIssuer
1442038MedicaidLA

National Provider Directory

National Provider Directory

Locations

300 Kitty Hawk Rd
Universal Cty, TX 78148

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1700815867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KITTY HAWK RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483906",
            "telephone_number": "210-566-5555",
            "fax_number": "210-566-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KITTY HAWK RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483906",
            "telephone_number": "210-566-5555",
            "fax_number": "210-566-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ER PROFESSIONAL FEE BILLING C/O SLIDELL MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-649-8504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1442038",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.