Canal Street Cardiology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CANAL STREET CARDIOLOGY

Practice address

2820 Canal St
New Orleans, LA 70119-6302

Phone

(504) 273-6137

Fax

(504) 304-1927

NPI assigned

May 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Michael Johnson, MDNPI 1932107505

Title

Medical Director

Phone

(504) 273-6137

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 7

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

• Glenn M Johnson, M.D.

  • Cardiovascular Disease Physician
  • New Orleans, LA
  • NPI 1932107505

  Specialist

  NPD (past) Authorized official
• Martha A Carr, M.D.

  • Cardiovascular Disease Physician
  • Covington, LA
  • NPI 1093779522
  NPD (past)
• Robert W Greer, M.D.

  • Cardiovascular Disease Physician
  • Metairie, LA
  • NPI 1508862822
  NPD (past)
• William Jeffrey Long, MD

  • Cardiovascular Disease Physician
  • Slidell, LA
  • NPI 1093718439
  NPD (past)
• Richard K Mautner, M.D.

  • Specialist
  • New Orleans, LA
  • NPI 1144228768
  NPD (past)
• William B Smith, M.D.

  • Specialist
  • New Orleans, LA
  • NPI 1124024054
  NPD (past)
• Frank E Wilklow, M.D.

  • Cardiovascular Disease Physician
  • New Orleans, LA
  • NPI 1407939259
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881640795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196302",
            "telephone_number": "504-273-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196302",
            "telephone_number": "504-273-6137",
            "fax_number": "504-304-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAL STREET CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-273-6137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1320293",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline Anne Campion, M.D.
• Gladys Campnbell, MSW, RSW
• Ashley Miranda Campo, DNP
• James Anothony Campo, D.D.S.
• Canal St Family Dentistry
• Canal Street Counseling, L.L.C.
• Canal Street Pharmacy LLC
• Canal Street Pharmacy LLC
• Canal Therapy Center LLC
• Canal Wome'S Clinic

• All providers in New Orleans, LA
• Specialist 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.