Northlake Gastroenterology
NPI 1861484842ActiveOrganization· Specialist· Hammond, LA
Specialist in Hammond, Louisiana, registered in NPPES in August 2005. The authorized official on file is Roy Holder, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861484842 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2005 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
Other Specialist providers in Hammond
- 1790976975
- 1598955148
- 1699089581
- 1962582577
- 1295972966
- 1942389986
- 1699744664
- 1922285907
- 1922048735
- 1306928049
- 1568793750
- 1639174741