CRH Clinic of Louisiana, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CRH CLINIC OF LOUISIANA, INC

Practice address

200 W Esplanade Ave
Suite 410-B
Kenner, LA 70065-2489

Phone

(504) 464-8619

Fax

(504) 464-8769

NPI assigned

May 8, 2008

Last updated

May 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Standley, MBA

Title

Manager of Contracting

Phone

(425) 284-7890

Specialties & licenses 1

Addresses

Locations

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.

• Wagih R Mando, M.D

  • Surgery Physician
  • Kenner, LA
  • NPI 1255393526
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1780851832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LAKE WASHINGTON BLVD NE",
            "address_2": "SUITE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337874",
            "telephone_number": "425-284-7890",
            "fax_number": "425-284-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 410-B",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-464-8619",
            "fax_number": "504-464-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH CLINIC OF LOUISIANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "STANDLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER OF CONTRACTING",
        "authorized_official_telephone_number": "425-284-7890",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creator Destiny LLC
• David Michael Creger, APRN, PMHNP-BC
• Crescent City Pharmaceuticals Inc (Hospital Drug Store)
• Crescent City Sleep and DME
• Crescent City Transportation, LLC
• Olga Crismariuc
• James Alan Crouch, DDS
• Keyonna Crouch
• Steven C Cummings, DDS
• Nathan Michael Cuny, MS/CCC-SLP

• Surgery Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.