DR. MD, MPH Kenneth Charles Civello JR., NPI 1699745562
Clinical Cardiac Electrophysiology Physician in Baton Rouge, 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 1699745562
NPI Entity Type Individual
Provider Name DR. MD, MPH Kenneth Charles Civello JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA, US
Provider Mailing Address 5959 S Sherwood Forest Blvd, Baton Rouge, LA, US, 708166038
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0001X

Taxonomy Name Clinical Cardiac Electrophysiology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 201354
License State LA
Description A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Business Address

DR. MD, MPH Kenneth Charles Civello JR.
7777 Hennessy Blvd
Suite 1000

Baton Rouge, LA, US

Phone: 225-767-3900
Fax: 225-766-2226

Mailing Address

DR. MD, MPH Kenneth Charles Civello JR.
5959 S Sherwood Forest Blvd
Baton Rouge, LA, US
ZIP 708166038
Phone: 222-526-0001
Fax: 225-765-9196

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1006122 OH QUAL 01
1108910 LA MEDICAID 05
114845 OH KAISER 01
E84798 OH SUMMA 01
000000364128 OH ANTHEM 01
P00225594 RAILROAD MEDICARE 01
2515157 OH MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] FMOLHS-Epic DIRECT OTHER No 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA, US
FHIR https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/ FMOLHS FHIR URL OTHER OTHER No 7777 Hennessy Blvd, Suite 1000, Baton Rouge, LA, US

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