ST TAMMANY HEART & VASCULAR INSTITUTE (NPI# 1124075361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124075361 |
| Entity Type | Organization |
| Organization Name | ST TAMMANY HEART & VASCULAR INSTITUTE |
| Practice Address |
20 Starbrush Cir Covington LA 70433-7208 |
| Mailing Address |
Po Box 62600 Dept 1392 New Orleans LA 70162-2600 |
| Practice Telephone | 9858716020 |
| Practice Fax Number | 9858987907 |
| Mailing Telephone | 9858716020 |
| Mailing Fax Number | 9858716027 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-03-05 |
| Authorized Official Name | DR. FARHAD X ADULI (MANAGING MEMBER) |
| Authorized Official Telephone | 9858716020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | DA3800 | 01 |
| LA | 1444707 | 05 |
| Street Address |
20 STARBRUSH CIR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302016 | Adriana Nagy | Specialist | 20 Starbrush Cir, Covington, LA 70433-7208 | 2005-11-08 |
| 1578189080 | Samantha Hood | Nurse Practitioner | 20 Starbrush Cir, Covington, LA 70433-7208 | 2020-06-20 |
| 1083187330 | Louisiana Heart and Vascular Institute, LLC | Internal Medicine | 20 Starbrush Cir, Covington, LA 70433-7208 | 2019-01-09 |
| 1013469352 | Stacy Sharp | Nurse Practitioner | 20 Starbrush Cir, Covington, LA 70433-7208 | 2016-11-03 |
| 1003197617 | Parish Primary Care LLC | General Practice | 20 Starbrush Cir, Covington, LA 70433-7208 | 2011-09-09 |
| 1023051372 | Farhad X Aduli | Internal Medicine | 20 Starbrush Cir, Covington, LA 70433-7208 | 2006-06-14 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184140154 | Cardiovascular Specialty Care Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-08-21 |
| 1174757272 | James F. Woodard | Internal Medicine | 75375 River Rd, Covington, LA 70435-7623 | 2009-05-05 |
| 1124009220 | Ravi Kanagala | Internal Medicine | 101 Judge Tanner Blvd, Ste. 200, Covington, LA 70433-7503 | 2005-11-07 |
| 1013914050 | Salvatore Buttaci-guarino | Internal Medicine | 101 Judge Tanner Blvd Ste 300, Covington, LA 70433-7506 | 2005-07-06 |
| 1629070826 | Umesh A Patel | Internal Medicine | 39 Starbrush Cir, Covington, LA 70433-7304 | 2005-06-01 |
| 1881696086 | Ali M Amkieh | Internal Medicine | 141 Lakeview Circle, Covington, LA 70433 | 2005-06-01 |
| 1700402153 | Cardiomed Consultants, LLC | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2020-06-22 |
| 1861911166 | Cardiovascular Specialty Cath Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-09-18 |
| 1013302132 | Cardiovascular Clinic of Covington, LLC | Internal Medicine | 101 Judge Tanner Blvd, Ste. 506, Covington, LA 70433-7503 | 2015-04-06 |
| 1033549225 | Frank J Arena Md, Apmc | Internal Medicine | 1970 N Highway 190, Suite 100, Covington, LA 70433-5158 | 2013-11-25 |
| 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.