LOUISIANA CONSUMER HEALTH CARE PROVIDER NETWORK DISCLOSURE & BALANCE BILLING DISCLOSURE
| Contact Person |
Nicole L Goodwin, Administrative Assistant, Managed Care |
| Contact Phone Number |
(985) 898-4493 |
| Contact E-mail Address |
ngoodwin@stph.org |
| Facility Web Site |
www.stph.org |
| Facility Physical Address |
1202 South Tyler Street, Covington, Louisiana 70433 |
| Physician/Physician Group & National Provider Identifier (NPI) |
Specialty |
Address |
Business Phone Number |
Billing Contact |
Children’s International, LLC
(Edwardo Hernandez, M.D.)
1073620498 |
Pediatric Hospitalist |
59101 Amber Street Slidell, LA 70461 |
(985) 646-1580 Ext. 5 |
Kimberly Wright |
JSK Professional Physician Services
(John Kessels, M.D.)
1912935578 |
Wound Care |
PO Box 1725 Kenner, LA 70065-1725 |
(504) 469-1960 |
Roberta Martin |
Northlake Pulmonary Associates, APMC
1144279134 [Eff. Date 5/25/2015] |
Intensivist Services (ICU/CCU) |
1203 South Tyler Street Suite 200 Covington, LA 70433 |
985-892-9143 |
Gina desBordes |
Pediatrix
1467559161 |
Neonatology |
3001E. President George Bush Turnpike; Suite 250 Richardson, TX 75082 |
(972) 437-5099 Ext 216 |
Terri L. Wohlever |
Pontchartrain Sleep Medicine
(Lauren Davis, M.D.)
1588612543 |
Sleep Medicine |
80 Gardenia Drive suite A Covington, LA 70433 |
(985) 845-1799 |
Jennifer Parra |
Reddy, Gollamudi H., M.D.
1497773535 |
Inpatient Rehabilitation |
2375 Gause Blvd Slidell, LA 70461 |
(985) 781-5600 |
Rhonda Dawson |
Regional Radiology, LLC
1336192863 |
Radiology |
PO Box 1608 Kenner, LA 70063 |
(504) 277-0191 |
Patrick Bowen |
St Tammany Emergency Physicians Group, LLC
1891187654 [Eff. Date 4/21/2015] |
Emergency Medicine |
1201 Camellia Blvd Suite 207 Lafayette, LA 70508-7228 |
(337) 534-0952 |
Patient Advocacy Department |
The Delta Pathology Group, L.L.C
1548258973
1871627067 (TC) |
Pathology |
2915 Missouri Street Shreveport, LA 71109-4327 |
(318) 841-9522 |
Debbie Rhodes |
Total Anesthesia Care
1669475190 |
Anesthesiology |
1202 S. Tyler Street Covington, LA 70433 |
(985) 892-3225 |
Isabel Dean |
This notice is provided to health insurance issuers by St. Tammany Parish Hospital pursuant to La. R.S. 22:1879 and is available to patients upon request pursuant to La. R.S. 22:1880.
Updated November 1, 2017