Active NPI
Antonio J Waring II, M.D.
- Pain Medicine (Anesthesiology) Physician
- Slidell, LA
National Provider Identifier
1750412946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 017995
- Practice address
- 901 Gause Blvd
Slidell, LA 70458-2948 - Phone
- (985) 280-6780
- Fax
- (985) 280-6781
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 017995 | LA | Primary |
Addresses
Primary practice location
901 Gause Blvd
Slidell, LA 70458-2948
Mailing address
1001 Gause Blvd # 75
Slidell, LA 70458-2939
Phone (985) 280-3609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1384585 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017995 | LA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Spine Management Center,LLC | Past | Accepting new patients | |
| Slidell Memorial Hospital | Past | Accepting new patients | |
| Gulf Coast Rheumatology | Past | Accepting new patients | |
| Northlake Anesthesiologists, a Professional Corporation | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDBCBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Slidell, LA
- NPI 1326214875
-
- Specialist
- Slidell, LA
- NPI 1669630604
-
- Anesthesiology Physician
- Slidell, LA
- NPI 1306949185
-
- Specialist
- Slidell, LA
- NPI 1558301093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1750412946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD # 75",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-280-3609",
"fax_number": "985-280-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582948",
"telephone_number": "985-280-6780",
"fax_number": "985-280-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARING",
"first_name": "ANTONIO",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "LA",
"license": "017995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1384585",
"state": "LA"
}
],
"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 Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.