Northlake Rheumatology, Pmllc

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

025536 Issued in LA

Legal business name

NORTHLAKE RHEUMATOLOGY, PMLLC

Practice address

15752 Medical Arts Dr
Ste. 100
Hammond, LA 70403-1446

Phone

(985) 340-7900

Fax

(985) 340-0944

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Malik C Spady, MD

Title

Phyician

Phone

(985) 340-7900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1770709404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15752 MEDICAL ARTS DR",
            "address_2": "STE. 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-340-7900",
            "fax_number": "985-340-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15752 MEDICAL ARTS DR",
            "address_2": "STE. 100",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031446",
            "telephone_number": "985-340-7900",
            "fax_number": "985-340-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE RHEUMATOLOGY, PMLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "SPADY",
        "authorized_official_first_name": "MALIK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYICIAN",
        "authorized_official_telephone_number": "985-340-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "025536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northlake Counseling and Consulting, LLC
• Northlake Endoscopy, LLC
• Northlake Gastroenterology
• Northlake Pathology LLC
• Northlake Rehab Professionals
• Northland Hearing Centers Inc (Sears Hearing Aid Centers)
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Northshore Ambulatory Surgery Center LLC
• Northshore Anesthesia, LLC
• Northshore Counseling Group LLC

• Rheumatology Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Rheumatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.