Active NPI
Marielisa S Sedrish, MD, FACR
- Rheumatology Physician
- Slidell, LA
National Provider Identifier
1962561191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD.07699R
- Practice address
- 1051 Gause Blvd
# 440
Slidell, LA 70458 - Phone
- (985) 280-6770
- Fax
- (985) 280-6771
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | MD.07699R | LA | Primary |
Addresses
Primary practice location
1051 Gause Blvd
# 440
Slidell, LA 70458
Mailing address
1051 Gause Blvd Ste 440
Slidell, LA 70458-2986
Phone (985) 280-6770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Slidell Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1962561191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD STE 440",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582986",
"telephone_number": "985-280-6770",
"fax_number": "985-280-6771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 GAUSE BLVD",
"address_2": "# 440",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-280-6770",
"fax_number": "985-280-6771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDRISH",
"first_name": "MARIELISA",
"middle_name": "S",
"credential": "MD, FACR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "LA",
"license": "MD.07699R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
- Zanquale Scott
- Anthony Joseph Scurria, M.D.
- SDL Medical Services, LLC (Liberty Interventional Pain)
- Clinton Thomas Seal, CRNA
- Charles R Searle, MD
- Phillip Paul Sedrish, MD, FACR
- Caroline C Segura, NP
- Keith L Sehon, O.D.
- Select Physical Therapy Holdings Inc (Select Physical Therapy)
- Selfmade Transportation Service, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.