St. Tammany Parish Fire Protection District No 4

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

9110059 Issued in LA

Legal business name

ST. TAMMANY PARISH FIRE PROTECTION DISTRICT NO 4

Practice address

709 Girod Street
Mandeville, LA 70448

Phone

(985) 626-8671

Fax

(985) 626-8082

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Ken Salzer, PARAMEDIC / RN

Title

Chief of EMS

Phone

(985) 624-6555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Tammany Fire District 4 Other name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Thomas Jordan, MD

  • Vascular Surgery Physician
  • Las Vegas, NV
  • NPI 1104913656
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1720205537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 GIROD STREET",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-626-8671",
            "fax_number": "985-626-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 GIROD STREET",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70448",
            "telephone_number": "985-626-8671",
            "fax_number": "985-626-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. TAMMANY PARISH FIRE PROTECTION DISTRICT NO 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "SALZER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "CHIEF OF EMS",
        "authorized_official_telephone_number": "985-624-6555",
        "authorized_official_credential": "PARAMEDIC / RN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "9110059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1995258",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Tammany Fire District 4",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St Tammany Cardiovascular Specialists LLC
• Kelsey Anne St. Arnaud, FNP
• St. Charles Vision Outlet Mandeville, LLC
• Jessica Collins St. Pierre, LCSW
• Michelle Alys St. Raymond, LCSW
• Scott Joseph St.Amant, APRN
• Staci R Jones FNP LLC
• Rosemary A Stagg, RN FNPC
• Aimee Starnes
• Start Corporation

• All providers in Mandeville, LA
• Land Ambulance in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.