Organization Active NPI

Northshore Hospital Medicine LLC

  • Internal Medicine Physician
  • Hammond, LA
National Provider Identifier
1861907776
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTHSHORE HOSPITAL MEDICINE LLC
Practice address
16014 Doctors Blvd
Hammond, LA 70403-1478
Phone
(985) 340-7868
Fax
(985) 340-7866
NPI assigned
Dec 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Authorized official

Name
Houssem Aouididi
Title
Office Manager
Phone
(985) 340-7868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

16014 Doctors Blvd
Hammond, LA 70403-1478

Mailing address

16014 Doctors Blvd
Hammond, LA 70403-1478
Phone (985) 340-7868

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1861907776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16014 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-340-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16014 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-340-7868",
            "fax_number": "985-340-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE HOSPITAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "AOUIDIDI",
        "authorized_official_first_name": "HOUSSEM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-340-7868"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.