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Deactivated NPI 1629098850 Deactivated / Inactive NPI Male Practitioner

Dr. John George Roheim , MD

Specialist • Slidell, LA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Roheim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2006
NPI Deactivation Date November 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. John Roheim, MD was a registered Specialist practicing in Slidell, LA. Throughout an active medical career spanning 17 years, Dr. Roheim provided care at the practice location at 105 MEDICAL CENTER DR until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

105 Medical Center Dr
Suite 202a

Slidell, LA 704615544

Telephone 9856434556
Fax 9856490663
Associated Practice Facility / Clinic
🏢 Crispin G. Bolisay, Md Apmc Facility NPI 1265497671

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Slidell, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 37.4 Yrs
Regional Practice Density
22 Specialists

Practicing in Slidell, LA (641 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License LA 018415

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Ha Ninh , OD

Optometrist

NPI 1003225905

Doctor of Optometry

Jacquelyn Gottardi , FNP-C

Nurse Practitioner - Family

NPI 1144037854

Family Nurse Practitioner (Certified)

Dr. Maria De Los Pons , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1154492221

Doctor of Medicine (M.D.)

Kristin Russo , WHNP-BC

Nurse Practitioner - Women's Health

NPI 1174971394

Women's Health Nurse Practitioner (Board Certified)

Patrick Fitzsimmons

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1215496484
Robert Schwab , NP-BC

Nurse Practitioner - Family

NPI 1215737051

NPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active December 02, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 02, 2010

Registered at 105 MEDICAL CENTER DR, SUITE 202A, SLIDELL, LA 704615544 (Tel: 9856434556)

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Updated Business Mailing Address December 02, 2010

Registered at 105 MEDICAL CENTER DR, SUITE 202A, SLIDELL, LA 704615544 (Tel: 9856458996)

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Provider Name / Credentials Updated December 02, 2010

Recorded as JOHN ROHEIM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Specialist (License #018415 in LA)

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Initial NPI Registration & Enumeration July 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629098850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2006
Last Update: December 02, 2010
Deactivation Date: November 01, 2023

Mailing Address

105 Medical Center Dr, Suite 202a

Slidell, LA 704615544

Phone: 9856458996

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.