Organization Active NPI

John George Roheim, M.D.,Faap, Apmc

  • Specialist
  • Slidell, LA
National Provider Identifier
1760401475
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
JOHN GEORGE ROHEIM, M.D.,FAAP, APMC
Practice address
105 Medical Center Drive
Suite 202a
Slidell, LA 70458
Phone
(985) 643-4558
Fax
(985) 649-0663
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
John Grorge Roheim, M.D.
Title
Physician
Phone
(985) 643-4558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

105 Medical Center Drive
Suite 202a
Slidell, LA 70458

Mailing address

105 Medical Center Drive
Suite 202a
Slidell, LA 70458
Phone (985) 643-4558

Other identifiers 1

IdentifierTypeStateIssuer
1933058MedicaidLA

National Provider Directory

National Provider Directory

Locations

105 Medical Center Dr
Ste 201
Slidell, LA 70461
Phone (985) 645-8996

105 Medical Center Dr
Ste 202A
Slidell, LA 70461
Phone (985) 645-8996

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1760401475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 202A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-643-4558",
            "fax_number": "985-649-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 202A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-643-4558",
            "fax_number": "985-649-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN GEORGE ROHEIM, M.D.,FAAP, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "ROHEIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GRORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "985-643-4558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1933058",
            "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 Jul 25, 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.