PELICAN PHYSICIAN SERVICES, LLC – NPI #1851609978
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

PELICAN PHYSICIAN SERVICES, LLC is a provider located in SLIDELL, LA. NPPES has assigned the NPI number 1851609978 to PELICAN PHYSICIAN SERVICES, LLC on September 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 12 years ago on Jul 09, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PELICAN PHYSICIAN SERVICES, LLC below.

NPI Profile for
PELICAN PHYSICIAN SERVICES, LLC

NPI Number
1851609978
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PELICAN PHYSICIAN SERVICES, LLC
Primary location
2375 GAUSE BLVD E
SLIDELL, LA 70461-4142
Phone: (985) 645-9000 Fax: (985) 645-0359
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KUMAR AMARANENI
OWNER/REGISTERED AGENT
Phone: (985) 645-9000
Updated
Identifiers

Identifiers for PELICAN PHYSICIAN SERVICES, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1442119
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
LA 06512R
208000000X
- Pediatrics
LA 025659
207R00000X
- Internal Medicine
LA 025659
207Q00000X
- Family Medicine
LA 019740

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.