DR. NICHOLAS J PERSICH (NPI# 1235245705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235245705 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS J PERSICH |
| Credential | MD |
| Practice Address |
4228 Houma Blvd Suite 120 Metairie LA 70006-3002 |
| Practice Telephone | 5044566701 |
| Practice Fax Number | 5044566843 |
| Mailing Telephone | 5044566701 |
| Mailing Fax Number | 5044566843 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
019601 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4413302 | 01 | |
| LA | 1930989 | 05 | |
| CIGNA | 5372667009 | 01 | |
| LA | BLUE CROSS | 4334849824E | 01 |
| Street Address |
4228 HOUMA BLVD SUITE 120 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708317 | Howard I. Brenner | Internal Medicine | 4228 Houma Blvd, Ste 520, Metairie, LA 70006-3016 | 2005-05-31 |
| 1376084616 | Tarek Balamane | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd, Ste 200, Metairie, LA 70006-3000 | 2017-03-20 |
| 1902250103 | Britta Nicole Haydel | Family Medicine | 4228 Houma Blvd, Ste 230, Metairie, LA 70006-3000 | 2016-04-14 |
| 1952768285 | Adrienne Cotaya | Nurse Practitioner | 4228 Houma Blvd, Ste 400, Metairie, LA 70006-3000 | 2016-01-18 |
| 1932579380 | Lucia Jackson | Occupational Therapist | 4228 Houma Blvd, Suite 600b, Metairie, LA 70006-3000 | 2015-09-29 |
| 1114304375 | Jonathon Sossamon | Family Medicine | 4228 Houma Blvd, Ste. 230, Metairie, LA 70006-3000 | 2015-04-27 |
| 1801298849 | Vineen Giordano | Occupational Therapist | 4228 Houma Blvd, Metairie, LA 70006-3000 | 2014-09-22 |
| 1710397542 | Ronald Andrew Slipman | Family Medicine | 4228 Houma Blvd, Suite 230, Metairie, LA 70006-3000 | 2014-05-01 |
| 1003246828 | Jacob General Surgery, LLC | Surgery | 4228 Houma Blvd, Suite 220, Metairie, LA 70006-3000 | 2013-11-14 |
| 1073945705 | Erin Jiminez | Nurse Practitioner | 4228 Houma Blvd, Ste 400, Metairie, LA 70006-3000 | 2013-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1578656815 | Kaitlin Elizabeth Occhipinti | Internal Medicine | 4534 N Turnbull Dr, Metairie, LA 70002-1443 | 2006-09-30 |
| 1295731354 | East Bank Gastroenterology LLC | Internal Medicine | 3800 Houma Blvd, Ste 220, Metairie, LA 70006-4151 | 2005-06-23 |
| 1992708317 | Howard I. Brenner | Internal Medicine | 4228 Houma Blvd, Ste 520, Metairie, LA 70006-3016 | 2005-05-31 |
| 1528203577 | Elizabeth Mcdonald, Md Apmc | Internal Medicine | 3800 Houma Blvd, Suite 308, Metairie, LA 70006-4184 | 2008-12-04 |
| 1619180734 | Vernon Carriere Jr. | Internal Medicine | 4228 Houma Blvd, Suite 120, Metairie, LA 70006-3000 | 2007-05-07 |
| 1336360007 | East Jefferson Gastroenterology Inc | Internal Medicine | 3941 Houma Blvd, Ste 1b, Metairie, LA 70006-2920 | 2007-05-01 |
| 1114095965 | Mark Wegmann | Internal Medicine | 4228 Houma Blvd, Suite 520, Metairie, LA 70006-3000 | 2006-12-01 |
| 1497861314 | Mark Jude Marino | Internal Medicine | 4228 Houma Blvd, Suite 520, Metairie, LA 70006-3000 | 2006-08-22 |
| 1306951082 | Metairie Gastroenterology Apmc | Internal Medicine | 4228 Houma Blvd, Suite 120, Metairie, LA 70006-3002 | 2006-08-20 |
| 1316052087 | David R Silvers | Internal Medicine | 4228 Houma Blvd, Suite 120, Metairie, LA 70006-3002 | 2006-08-20 |
| Find all providers in METAIRIE | ||||
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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.