Alyce Richard Phillips, M.D.
Individual provider Active NPI Anesthesiology Physician · Luling, LA
NPI 1013354570 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1013354570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 311951 (LA)
- Practice address
- 1057 Paul Maillard Rd
Luling, LA 70070 - Phone
- (985) 785-3740
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Louisiana State University School of Medicine in New Orleans, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ochsner Clinic LLC
Practice addresses (Care Compare)
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone (985) 785-6242
Hospital & facility affiliations
- Ochsner Medical Center Acute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191025000863 | LA | Practitioner - Anesthesiology | 0648540567 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 311951 | LA | MD | Anesthesiology Physician |
| 255827 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
1516 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 833-2337
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
Interoperability endpoints
- arichard864739@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 255827 | MA | |
| Anesthesiology Physician | 207L00000X | 311951 | LA | Yes |
Addresses
Primary practice location
1057 Paul Maillard Rd
Luling, LA 70070
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
Other practice location 2
1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000
NPI Registry JSON
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1013354570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 PAUL MAILLARD RD",
"city": "LULING",
"state": "LA",
"postal_code": "70070",
"telephone_number": "985-785-3740"
}
],
"practiceLocations": [
{
"address_1": "1493 Cambridge St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021391047",
"country_code": "US",
"telephone_number": "617-665-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1493 Cambridge St",
"address_purpose": "LOCATION",
"city": "Cambridge",
"state": "MA",
"postal_code": "021391047",
"country_code": "US",
"telephone_number": "617-665-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ALYCE",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "255827",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "LA",
"license": "311951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Luling, LA
- Kawander Parquet
- Nancy Jean Pemberton
- Sarah Marie Perilloux
- Pharmacy Made Easy LLC
- Lindsey Pherribo
- Brandi Duffourc Porche
- Matthew M Powers
- Premier Rehab
- Leslie Prestenbach
- Darrell J Price
All providers in Luling, LA · Anesthesiology Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.