Slidell Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 06533R Issued in LA

Legal business name

SLIDELL FAMILY MEDICINE LLC

Practice address

1051 Gause Blvd
Suite 380
Slidell, LA 70458-2951

Phone

(985) 641-8191

Fax

(985) 641-9812

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cuong Van Le, M.D.

Title

Owner

Phone

(985) 641-8191

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 5

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

• Judith Marie Baker, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Slidell, LA
  • NPI 1639553639
  NPD
• Cheryl L Krewsky, NP

  • Primary Care Nurse Practitioner
  • Slidell, LA
  • NPI 1144363953
  NPD
• Clinton Harry Sharp III, M.D.

  • Family Medicine Physician
  • Slidell, LA
  • NPI 1508855198
  NPD
• Dianna Waller Wadsworth, FNP

  • Family Health Clinical Nurse Specialist
  • Slidell, LA
  • NPI 1386990463
  NPD
• Matthew S Horsfield, MD

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013998129
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821156878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704590160",
            "telephone_number": "985-641-8191",
            "fax_number": "985-641-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 380",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-641-8191",
            "fax_number": "985-641-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CUONG",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-641-8191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD 06533R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1344346",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Slidell Eye Clinic
• Slidell Eye Specialists, Apmc
• Slidell Eye Specialists, Apmc
• Slidell Family Dental Care, LLC
• Slidell Family Medical and Wellness Care, LLC
• Slidell Internal Medicine Clinic LLC
• Slidell Memorial Hospital
• Slidell Memorial Hospital
• Slidell Memorial Hospital
• Slidell Memorial Hospital

• Family Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.