Individual provider Active NPI

Thaddeus Ray Erato, M.D.

  • Emergency Medicine Physician
  • Slidell, LA
National Provider Identifier
1962429985
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.10535R Issued in LA
Practice address
1052 Lakeshore Blvd
Slidell, LA 70461-4678
Phone
(504) 339-3472
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 10535R LA
Emergency Medicine Physician 207P00000X MD.10535R LA Primary

Addresses

Primary practice location

1052 Lakeshore Blvd
Slidell, LA 70461-4678

Mailing address

1052 Lakeshore Blvd
Slidell, LA 70461-4678
Phone (504) 339-3472

Other identifiers 2

IdentifierTypeStateIssuer
1675211MedicaidLA
04609769MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040108000138 LA Practitioner - Emergency Medicine 1658270699 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10535RLAMDEmergency Medicine Physician
MD.10535RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Parish Emergency Physicians Group LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
East Louisiana State Hospital CurrentSince Jun 15, 2013 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Jan 11, 2017 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc Past Accepting new patients
Houma Emergency Medicine Associates LLC Emergency Medicine Past Accepting new patients
Premier After Hours Past Accepting new patients
Louisiana Em-1 Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

4502 Highway 951
Jackson, LA 70748
Phone (225) 634-0224

Organizations & group practices 11

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1962429985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 LAKESHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614678",
            "telephone_number": "504-339-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 LAKESHORE BLVD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614678",
            "telephone_number": "504-339-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERATO",
        "first_name": "THADDEUS",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "10535R",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.10535R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675211",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04609769",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.