Active NPI
Bayou Urgent Care LLC
- Urgent Care Clinic/Center
- New Orleans, LA
National Provider Identifier
1013313402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- BAYOU URGENT CARE LLC
- Practice address
- 301 Fairway Dr
New Orleans, LA 70124-1020 - Phone
- (504) 237-4696
- NPI assigned
- Nov 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Greg Fernandez, MD
- Title
- Owner
- Phone
- (505) 237-4696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
301 Fairway Dr
New Orleans, LA 70124-1020
Mailing address
901 W Judge Perez Dr
Chalmette, LA 70043-4701
Other names 1
- Bayou Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150319000441 | LA | Part B Supplier - Clinic/Group Practice | 7810214418 |
Receives reassigned benefits from 14 practitioners Practice locations: Chalmette, LA |
National Provider Directory
National Provider DirectoryLocations
7720 US Highway 167
Abbeville, LA 70510
901 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 279-5266
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1013313402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 W JUDGE PEREZ DR",
"city": "CHALMETTE",
"state": "LA",
"postal_code": "700434701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 FAIRWAY DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701241020",
"telephone_number": "504-237-4696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYOU URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-237-4696",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bayou Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.