NPIMap

Individual provider Active NPI

Jaime Santiago Tuazon, MD

  • Diagnostic Radiology Physician
  • Slidell, LA
National Provider Identifier
1881699809
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
06059R Issued in LA
Practice address
989 Robert Blvd
Slidell, LA 70458-2009
Phone
(985) 690-8200
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 06059R LA Primary

Addresses

Primary practice location

989 Robert Blvd
Slidell, LA 70458-2009

Mailing address

PO Box 8430
Metairie, LA 70011-8430
Phone (504) 834-2062

Other identifiers 2

IdentifierTypeStateIssuer
04308069MedicaidMS
1348589MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
06059RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Imaging LLC Past Accepting new patients
Delta MRI LLC Diagnostic Radiology Past Accepting new patients
Southwest Imaging Associates, Apmc Diagnostic Radiology Past Accepting new patients
Delta Digital Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Bayou Radiology, Inc Diagnostic Radiology Past Accepting new patients
Delta Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Hedge Diagnostics, Inc, Apmc Diagnostic Radiology Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1881699809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8430",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700118430",
            "telephone_number": "504-834-2062",
            "fax_number": "504-831-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 ROBERT BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582009",
            "telephone_number": "985-690-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUAZON",
        "first_name": "JAIME",
        "middle_name": "SANTIAGO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "06059R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04308069",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1348589",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.