SLIDELL INTERNAL MEDICINE CLINIC LLC
NPI 1700090016
Internal Medicine in Slidell, LA

Q: What is Slidell Internal Medicine Clinic LLC's NPI number?

The NPI number for Slidell Internal Medicine Clinic LLC is 1700090016. It was assigned to this organization in the NPPES registry on May 9, 2007.

Q: What is Slidell Internal Medicine Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 09, 2007

105 MEDICAL CENTER DR, SUITE 301, SLIDELL, LA 70461(985) 646-0123(985) 641-0330 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Slidell Internal Medicine Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLIDELL INTERNAL MEDICINE CLINIC LLC (NPI 1700090016) is a healthcare organization registered as an internal medicine in Slidell, Louisiana and active in the NPI registry since May 2007. The organization lists Allan Quibilan Larcena, Owner, as its authorized official.

NPPES Registry Identity

NPI1700090016

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSLIDELL INTERNAL MEDICINE CLINIC LLC

Location Address105 MEDICAL CENTER DR, SUITE 301Slidell, LA 70461-5544

Mailing Address105 Medical Center Dr, Suite 301Slidell, LA 70461-5544 · (985) 646-0123 · Fax (985) 641-0330

Phone(985) 646-0123

Fax(985) 641-0330

Organization SubpartNo

Authorized OfficialAllan Quibilan LarcenaOwner · (985) 646-0123

Enumeration DateMay 9, 2007

Last NPPES UpdateDecember 28, 2007

✔ NPI 1700090016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in LA · 11339R

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

105 MEDICAL CENTER DR, Slidell, LA 70461

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Other Identifiers 4

Medicare ID-Type Unspecified5W341LA

Medicaid1662097LA

Medicare UPING09158LA

Medicare ID-Type Unspecified5CU10LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HA NINH O.D.

Optometrist

105 MEDICAL CENTER DR, STE 202
SLIDELL, LA 70461

St. Tammany Parish (985) 639-3777

MRS. JACQUELYN MARIE GOTTARDI FNP-C

Nurse Practitioner (Family)

105 MEDICAL CENTER DR
SLIDELL, LA 70461

St. Tammany Parish (985) 639-3777

DR. MARIA DE LOS ANGELES PONS M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

105 MEDICAL CENTER DR, SUITE 306
SLIDELL, LA 70461

St. Tammany Parish (985) 643-3033

KRISTIN RUSSO WHNP-BC

Nurse Practitioner (Women's Health)

105 MEDICAL CENTER DR, SUITE 303
SLIDELL, LA 70461

St. Tammany Parish (985) 661-3591

PATRICK FITZSIMMONS

Physical Medicine & Rehabilitation (Pain Medicine)

105 MEDICAL CENTER DR
SLIDELL, LA 70461

St. Tammany Parish (985) 639-3777

ROBERT LOUIS SCHWAB III NP-BC

Nurse Practitioner (Family)

105 MEDICAL CENTER DR
SLIDELL, LA 70461

St. Tammany Parish (985) 639-3777

CRISPIN G. BOLISAY, MD APMC

Internal Medicine (Nephrology)

105 MEDICAL CENTER DR, SUITE 304
SLIDELL, LA 70461

St. Tammany Parish (985) 646-0360

DR. ALLAN QUIBILAN LARCENA MD

Internal Medicine

105 MEDICAL CENTER DR, SUITE 301
SLIDELL, LA 70461

St. Tammany Parish (985) 646-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Slidell Internal Medicine Clinic LLC's NPI number?

The NPI number for Slidell Internal Medicine Clinic LLC is 1700090016. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Slidell Internal Medicine Clinic LLC located?

Slidell Internal Medicine Clinic LLC is located at 105 Medical Center Dr Suite 301, Slidell, LA 70461. The listed phone number is (985) 646-0123.

What is Slidell Internal Medicine Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Slidell Internal Medicine Clinic LLC was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.