Northshore Internal Medicine Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHSHORE INTERNAL MEDICINE ASSOCIATES

Practice address

2101 Robin Ave
Suite 5
Hammond, LA 70403-5772

Phone

(985) 318-1000

Fax

(985) 318-1001

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Amy B Bodewaldt

Title

Office Administrator

Phone

(985) 318-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles R Ducombs, M.D.

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1891765954
  NPD (past)
• Robert C. Peltier, M.D.

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1467422063
  NPD (past)
• Susan Zacharia, M.D.

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1114997715
  NPD (past)
• Anthony Elvie Zerangue, M.D.

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1477523538
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992882237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 5",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-318-1000",
            "fax_number": "985-318-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 ROBIN AVE",
            "address_2": "SUITE 5",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035772",
            "telephone_number": "985-318-1000",
            "fax_number": "985-318-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODEWALDT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "985-318-1000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1440621",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northshore Counseling Group LLC
• Northshore ENT Clinic, LLC
• Northshore Eye Associates LLC
• Northshore Hospital Medicine LLC
• Northshore Imaging Assoc LLC
• Northshore Provider Group LLC
• Kristin Toney Notariano, DOCTOR OF PHARMACY
• NS'NG, Inc.
• Jamonica Nunnery
• Brittany Laine O'Bryan, DIETITIAN

• Internal Medicine Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Internal Medicine Physician in Louisiana

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

Verify at the official NPI Registry.