Northshore Oncology Associates, Llc, NPI 1043518236
Hematology & Oncology Physician in Covington, LA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1043518236
NPI Entity Type Organization
Provider Name Northshore Oncology Associates, Llc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1203 S Tyler St, Ste 100, Covington, LA, US
Provider Mailing Address 4950 Essen Lane, Attn Kristi Siemann, Baton Rouge, LA, US, 708093482
Is Sole Proprietor? No
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Organization Official

Official Name Paul R Nowacki
Official Position BUSINESS MANAGER
Phone 225-215-1223

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

Northshore Oncology Associates, Llc
1203 S Tyler St
Ste 100

Covington, LA, US

Phone: 985-892-9090
Fax: 985-892-9957

Mailing Address

Northshore Oncology Associates, Llc
4950 Essen Lane
Attn Kristi Siemann
Baton Rouge, LA, US
ZIP 708093482
Phone: 225-215-1311

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3855298 MS MISSISSIPPI MEDICAID 01
2142089 LA MEDICAID 05

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