SSM GROUP PRACTICE LLC (NPI# 1659839561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659839561 |
| Entity Type | Organization |
| Organization Name | SSM GROUP PRACTICE LLC |
| Practice Address |
2612 Severn Ave Metairie LA 70002-5935 |
| Practice Telephone | 5044914987 |
| Mailing Telephone | 5044914987 |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | CHARLES GREGORY ECKERT (MANAGER) |
| Authorized Official Telephone | 5044914987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2612 SEVERN AVE |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-5935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780057984 | Neuralogix Management, LLC | Physiological Laboratory | 2612 Severn Ave, Suite B, Metairie, LA 70002-5935 | 2015-11-10 |
| 1619332038 | Sleepworks, Inc. | Physiological Laboratory | 2612 Severn Ave, Metairie, LA 70002-5935 | 2015-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721853 | Saramed LLC | Family Medicine | 8020 Captain Dillon Ct, Shreveport, LA 71115-4606 | 2019-10-09 |
| 1992154827 | Deep Sleep, LLC | Family Medicine | 4912 Tulane Dr, Baton Rouge, LA 70808-4763 | 2016-06-10 |
| 1992236152 | Wk Shreveport Sleep Medicine | Family Medicine | 1666 E Bert Koun Loop, Suite 230, Shreveport, LA 71105-5714 | 2017-03-21 |
| 1881910040 | Mohammad Hammad Cheema | Family Medicine | 4232 Williams Blvd, Suite #108, Kenner, LA 70065-2271 | 2010-04-13 |
| 1245465541 | Shantan Bhargav Redd Ravula | Family Medicine | 14225 Highway 73, Prairieville, LA 70769-3616 | 2009-05-16 |
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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.