NPIMap

Organization Active NPI

Frederick L. Keppel M.D. P.M.C

  • Specialist
  • Slidell, LA
National Provider Identifier
1942465596
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016223 Issued in LA
Legal business name
FREDERICK L. KEPPEL M.D. P.M.C
Practice address
1150 Robert Blvd
100
Slidell, LA 70458-2004
Phone
(985) 641-9855
NPI assigned
Jul 23, 2008
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Frederick L. Keppel M.D.
Title
Medical Doctor
Phone
(985) 641-9855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 016223 LA Primary

Addresses

Primary practice location

1150 Robert Blvd
100
Slidell, LA 70458-2004

Mailing address

1150 Robert Blvd
100
Slidell, LA 70458-2004
Phone (985) 641-9855

Other identifiers 1

IdentifierTypeStateIssuer
1358517MedicaidLA

National Provider Directory

National Provider Directory

Locations

1150 Robert Blvd
Ste 100
Slidell, LA 70458
Phone (985) 646-1122

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1942465596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD",
            "address_2": "100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582004",
            "telephone_number": "985-641-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD",
            "address_2": "100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582004",
            "telephone_number": "985-641-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK L. KEPPEL M.D. P.M.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "KEPPEL M.D.",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "985-641-9855"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "016223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358517",
            "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 Jul 23, 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.