Organization Active NPI

Slidell Memorial Hospital Neurosurgery Billing of SMH

  • Neurological Surgery Physician
  • Slidell, LA
National Provider Identifier
1740290790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
SLIDELL MEMORIAL HOSPITAL NEUROSURGERY BILLING OF SMH
Practice address
1001 Gause Blvd
Slidell, LA 70458-2939
Phone
(985) 649-1152
Fax
(985) 643-9808
NPI assigned
Aug 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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) 643-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

1001 Gause Blvd
Slidell, LA 70458-2939

Mailing address

1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (985) 649-1152

National Provider Directory

National Provider Directory

Locations

1150 Robert Blvd
Ste 101
Slidell, LA 70458
Phone (985) 607-1900

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740290790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "985-649-1152",
            "fax_number": "985-643-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 GAUSE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582939",
            "telephone_number": "985-649-1152",
            "fax_number": "985-643-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL MEMORIAL HOSPITAL NEUROSURGERY BILLING OF SMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "985-643-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.