Organization Active NPI

St Anne ER Group, LLC

  • Emergency Medicine Physician
  • Raceland, LA
National Provider Identifier
1740699248
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ST ANNE ER GROUP, LLC
Practice address
4608 Highway 1
Raceland, LA 70394-2623
Phone
(985) 537-6841
Fax
(985) 537-8296
NPI assigned
Aug 8, 2014
Last updated
Jul 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Edward Jackson Dease III, MDNPI 1881637973
Title
Ceo
Phone
(985) 249-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

4608 Highway 1
Raceland, LA 70394-2623

Mailing address

229 Saint John LN
Covington, LA 70433-3276
Phone (985) 773-1847

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

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": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1740699248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 SAINT JOHN LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333276",
            "telephone_number": "985-773-1847",
            "fax_number": "985-249-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-6841",
            "fax_number": "985-537-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANNE ER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "DEASE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-249-5600",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.