Pontchartrain Diagnostic Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PONTCHARTRAIN DIAGNOSTIC IMAGING LLC

Practice address

95 Judge Tanner Blvd
Covington, LA 70433-7500

Phone

(985) 867-4050

NPI assigned

Oct 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael David Hall, M.D.NPI 1528061058

Title

Radiologist

Phone

(985) 792-5537

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, CA, NY, VA, GA, FL, WV, TX, CO, SC, NC, OH, AL, IL, NM, HI16 enrollments

Enrollment records 16

Locations

Practitioners 73

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

• Michael D Hall, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1528061058

  LA

  Medicare reassignment Care Compare group NPD Authorized official
• Steven F Pflug, M.D.

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1891798328
  Medicare reassignment Care Compare group NPD
• Omar Saleh Hajibrahim, MD

  • Diagnostic Radiology Physician
  • Ft Carson, CO
  • NPI 1649349408
  Medicare reassignment Care Compare group NPD
• Zachary Jefferson Liner, M.D.

  • Neuroradiology Physician
  • Gulfport, MS
  • NPI 1710203971

  Diagnostic Radiology, LA

  Medicare reassignment Care Compare group NPD
• Kim Nga Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
  • NPI 1689628331
  Medicare reassignment Care Compare group NPD
• James Milton Reynolds, M.D.

  • Vascular & Interventional Radiology Physician
  • Huntington, WV
  • NPI 1881655504

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Kathryn Elizabeth Pflug, M.D.

  • Diagnostic Radiology Physician
  • Covington, LA
  • NPI 1083913974
  Medicare reassignment Care Compare group
• Amy Rubeis Charron, M.D.

  • Diagnostic Radiology Physician
  • Erie, PA
  • NPI 1588661763

  FL

  Medicare reassignment Care Compare group
• Carol Pratt Becker, MD

  • Diagnostic Radiology Physician
  • Opelousas, LA
  • NPI 1639192578
  Medicare reassignment NPD
• Alissa Robin Aboff, MD

  • Neuroradiology Physician
  • New York, NY
  • NPI 1821527490

  Diagnostic Radiology

  Medicare reassignment NPD
• Jacob Abraham, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1144271800
  Medicare reassignment NPD
• Taro Aikawa, M.D.

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1144265455
  Medicare reassignment NPD

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352764800000",
    "number": "1760734685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 BOCAGE LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711605",
            "telephone_number": "985-792-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337500",
            "telephone_number": "985-867-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-11-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "985-792-5537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah D Pokorny, MSW
• Tamira Polk
• Julie S. Ponder, C-WHNP
• Whitney Burke Ponseti
• Pontchartrain Cancer Center
• Pontchartrain Pediatrics LLC
• Pontchartrain Psychological Resources, LLC
• Pontchartrain Sleep Medicine, LLC
• Pontchartrain Surgery Center LLC
• Pontchartrain Surgery Center, LLC

• Diagnostic Radiology Physician in Covington, LA
• Providers in Covington, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.