Active NPI
Michael Christopher Knisley, M.D.
- Emergency Medicine Physician
- New Orleans, LA
National Provider Identifier
1033218094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.204544
- Practice address
- 1514 Jefferson Highway
New Orleans, LA 70121-2429 - Phone
- (504) 842-3460
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036114536 | IL | |
| Emergency Medicine Physician | 207P00000X | MD.204544 | LA | Primary |
Addresses
Primary practice location
1514 Jefferson Highway
New Orleans, LA 70121-2429
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036114536 | Medicaid | IL | |
| 2168509 | Medicaid | LA | |
| 05205550 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.204544 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Belle Chasse Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Kenner Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1514 Jefferson Hwy
New Orleans, LA 70121
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- New Orleans, LA
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- Emergency Medicine Physician
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- NPI 1013986546
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- General Practice Physician
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- NPI 1538151428
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- Registered Dietitian
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-
- General Practice Physician
- Slidell, LA
- NPI 1245597822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1033218094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"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": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNISLEY",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036114536",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.204544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036114536",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2168509",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05205550",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.