East Bank Internal Medicine LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

11919 Issued in LA

Legal business name

EAST BANK INTERNAL MEDICINE LLC

Practice address

3800 Houma Blvd Ste 250
Metairie, LA 70006-5013

Phone

(504) 885-3272

Fax

(504) 456-6600

NPI assigned

Oct 22, 2007

Last updated

Oct 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Songy, M.D.

Title

Owner

Phone

(504) 885-3272

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Robert E Songy, MD Former legal business name

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1962691428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 250",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065013",
            "telephone_number": "504-885-3272",
            "fax_number": "504-456-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 250",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065013",
            "telephone_number": "504-885-3272",
            "fax_number": "504-456-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BANK INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SONGY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-885-3272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "11919",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "11919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496430",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E Songy, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.