William H Dabdoub, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PD024R Issued in LA

Practice address

1150 Robert Blvd Ste 190
Slidell, LA 70458-2064

Phone

(985) 649-0002

Fax

(985) 649-0034

NPI assigned

May 23, 2006

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dabdoub.william.007.0180017@wdpmsa.meditab.direct-ci.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

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

• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Ochsner CHRISTUS Health Center - Grand Lake

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1689146219
  NPD
• Gulf Coast Rheumatology

  • Specialist
  • Slidell, LA
  • NPI 1669630604
  NPD (past)
• Slidell Memorial Hospital

  dba Slidell Radiation Center

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1972558500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 190",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582064",
            "telephone_number": "985-649-0002",
            "fax_number": "985-649-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROBERT BLVD STE 190",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582064",
            "telephone_number": "985-649-0002",
            "fax_number": "985-649-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABDOUB",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD024R",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "PD024R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00116608",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3640",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3638",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1318400",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN3639",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• D Blakes Enterprise LLC
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• Da Millers Transportation LLC
• Carmen N. Daddona, SA-C
• Mahmoud Daftary, MD
• Michael Sonny Dai, DDS
• Leith A Daigle, DDS
• Pamela Ponce de Leon Daigle, DDS

• Foot & Ankle Surgery Podiatrist in Slidell, LA
• Providers in Slidell, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.