DR. MD, MPH Kenneth Charles Civello JR., NPI 1699745562
Clinical Cardiac Electrophysiology Physician in Baton Rouge, LA, US
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 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinical Cardiac Electrophysiology Physician |
| Classification | |
| Group | |
| 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. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 201354 | LA | No | |||
| 35084798 | OH | No | |||
| 35084798 | OH | No |
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 |
Other Providers in LA, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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DR. PHD, MP Stephany L. Hillman Individual |
1244 Barrow St Ste 107 |
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DR. M.D. David Allen Barrington Individual |
2820 Napoleon Ave |
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DR. M.D. Caitlin Takach Coco Individual |
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MD Sarah Chanmi Jin Lee Individual |
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1514 Jefferson Hwy |
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Louisiana Health Care Services, Llc Organization |
3913 Lake Larouge Dr |
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CRNA Amanda Smidt Individual |
1541 Kings Hwy |
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MRS. RN Cathleen Mary Philip Individual |
2237 N Hullen St Ste 203 |
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M.D. Aneesha Ananthula Individual |
1542 Tulane Ave # T4m2 |
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LCSW Qiana L Daniels-jones Individual |
406 W 3rd St Ste 102 |
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Essence Of Therapy & Consulting Services Llc Organization |
242 Crossing North St |
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Tramika Wyatt Individual |
1403 Metro Dr Ste C1 |
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The Social Work Hub Llc Organization |
396 North Main Street |
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CRNA Hector Jordan Zayas Individual |
1202 S Tyler St |
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MD Aldo Torres Ortiz Individual |
1430 Tulane Ave # 8016 |
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MRS. PA-C Victoria M. Bailey Individual |
5000 Hennessy Blvd |
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NP Britney Leger Bergeron Individual |
7777 Hennessy Blvd Ste 1000 |
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|
PA-C Crista Watson Individual |
243 Curtiss Rd Ste 100 |
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|
MD Danielle Louise Cobb Individual |
7777 Hennessy Blvd Ste 612 |
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Massoud Allahyari Individual |
1541 Kings Hwy |
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|
Mildred 71027 Hines Individual |
219 Outlaw Riding Club Rd |
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