ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 (NPI# 1538579032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538579032 |
| Entity Type | Organization |
| Organization Name | ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Other Organization Name | NORTHLAKE SURGICAL ASSOCIATES AT ST. TAMMANY PARISH HOSPITAL |
| Practice Address |
606 W 11th Ave Covington LA 70433-3630 |
| Mailing Address |
Po Box 54482 New Orleans LA 70154-4482 |
| Practice Telephone | 9858923766 |
| Practice Fax Number | 9858939567 |
| Mailing Telephone | 9858983740 |
| Mailing Fax Number | 9858983739 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2019-09-30 |
| Authorized Official Name | MRS. JOAN COFFMAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 9858984000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO 1 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1791873 | 05 |
| Other Name | Type Code |
|---|---|
| Northlake Surgical Associates at St. Tammany Parish Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568483550 | St. Tammany Parish Hospital Service District No 1 | Registered Nurse | 725 W 11th Ave, Covington, LA 70433-2317 | 2006-07-22 |
| 1275539363 | St. Tammany Parish Hospital Service District No 1 | Family Medicine | 82525 Highway 25, Folsom, LA 70437-3116 | 2005-06-22 |
| 1598193625 | St. Tammany Parish Hospital Service District No 1 | Orthopaedic Surgery | 71211 Highway 21, Suite A, Covington, LA 70433-7121 | 2013-10-29 |
| 1508097874 | St. Tammany Parish Hospital Service District No 1 | Internal Medicine | 1006 S Harrison St, Covington, LA 70433-3661 | 2009-08-04 |
| 1245300425 | St. Tammany Parish Hospital Service District No 1 | Rehabilitation Unit | 1202 S. Tyler Street, Covington, LA 70433-2330 | 2006-11-08 |
| 1144244831 | St. Tammany Parish Hospital Service District No 1 | Registered Nurse | 725 W 11th Ave, Covington, LA 70433-2317 | 2006-07-26 |
| 1598798597 | St. Tammany Parish Hospital Service District No 1 | General Acute Care Hospital | 1202 S Tyler St, Covington, LA 70433-2330 | 2006-07-10 |
| Street Address |
606 W 11TH AVE |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312223 | John H Verhulst | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-10 |
| 1215165303 | Mark Gregory Jones | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2009-06-26 |
| 1306071469 | Jacob Barrow Daigle | Surgery | 606 W 11th Ave, Covington, LA 70433 | 2009-05-19 |
| 1740440585 | Irene S. Caillouet | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2008-06-16 |
| 1043428170 | Mark Jason Dominguez | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2007-05-21 |
| 1962531483 | Northlake Surgical Associates, Ltd A Professional Medical Corporation | Specialist | 606 W 11th Ave, Covington, LA 70433-3630 | 2007-03-02 |
| 1265434187 | James H Cody | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-11 |
| 1053312231 | Michael W Carpenter | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-10 |
| 1295736411 | Ludwig C Heintz | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-10 |
| 1710988951 | William Karl Ordoyne Jr. | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2005-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851907992 | Diana Rowe | Specialist | 35 Homeplace Dr, Covington, GA 30016-8539 | 2020-09-23 |
| 1427411719 | Annette Marie Comer | Specialist | 203 Green Violet Dr, Covington, VA 24426-6327 | 2016-04-04 |
| 1447654686 | David E Williams | Specialist | 767 Highway 142, Covington, GA 30014-4860 | 2014-10-17 |
| 1720328313 | Paradigm Health System | Specialist | 90 Louis Prima Dr, Suite B, Covington, LA 70433-5903 | 2013-02-19 |
| 1639415243 | Elaine Y Lewis | Specialist | 205 Queensland Ln, Covington, GA 30016-3100 | 2012-12-31 |
| 1710286794 | Pontchartrain Cancer Center | Specialist | 120 Lakeview Cir, Covington, LA 70433-7512 | 2011-03-16 |
| 1598088247 | Oxana P Lissina | Specialist | 16127 Se 256th Pl, Covington, WA 98042-4135 | 2010-03-09 |
| 1477880714 | Srinivas S Ganji M.d. A Prof Medical Corp | Specialist | 209 Highway Park Plaza, Covington, LA 70433 | 2009-11-06 |
| 1447494109 | Monica Lanee Anderson | Specialist | 280 Capeton Ct, Covington, GA 30016 | 2009-04-25 |
| 1750521274 | Anita Holtzapple | Specialist | 180 Red Cloud Ct, Covington, KY 41017-9423 | 2009-02-23 |
| Find all providers in COVINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.