Active NPI
Southern Bariatric Associates
- Specialist
- Covington, LA
National Provider Identifier
1861415895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 92030365
- Legal business name
- SOUTHERN BARIATRIC ASSOCIATES
- Practice address
- 7015 Highway 190 East Service Rd
Covington, LA 70433-4960 - Phone
- (985) 234-3000
- Fax
- (985) 234-3002
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Gray
- Title
- Ceo
- Phone
- (985) 234-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 92030365 | LA | Primary |
Addresses
Primary practice location
7015 Highway 190 East Service Rd
Covington, LA 70433-4960
Mailing address
PO Box 249
Madisonville, LA 70447-0249
Phone (985) 234-3000
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Metairie, LA
- NPI 1790732923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861415895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "MADISONVILLE",
"state": "LA",
"postal_code": "704470249",
"telephone_number": "985-234-3000",
"fax_number": "985-234-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 HIGHWAY 190 EAST SERVICE RD",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704334960",
"telephone_number": "985-234-3000",
"fax_number": "985-234-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN BARIATRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRAY",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "985-234-3000"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "92030365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
- Sondes Medical Associates, LLC
- Sondes-Fidelis of Louisiana LLC
- Scott M Sondes, M.D.
- Brett Vance Sorensen, D.P.M.
- Southeast Louisiana Home Health, LLC
- Southern Institute for Women'S Sexual Health
- Southern Medical Development
- Southern Pathology a Professional Medical Corporation
- Southern Pathology, a Professional Medical Corporation
- Southern Pulmonary and Sleep, LLC
Sources for this page
- 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.