Children'S Hospital
Organization Active NPI Specialist · New Orleans, LA
NPI 1043230873 · NPPES record last updated Mar 6, 2025
Key facts
- NPI
- 1043230873
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 256 (LA)
- Legal business name
- CHILDREN'S HOSPITAL
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5720 - Phone
- (504) 896-9511
- Fax
- (504) 896-2772
- NPI assigned
- Jul 21, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- LOUISIANA CHILDREN'S MEDICAL CENTER
Authorized official
- Name
- Lucio Fragouso
- Title
- Cfo
- Phone
- (504) 899-9511
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Practitioners 227
-
George S. Bisset III, M.D.
-
Ayush Gupta, MBBS
-
Kathryn Ellen Hodgdon, M.D.
-
Cassandra Koid Jia Shin, MB BCH BAO
-
Athena Fuqua Lefort, M.D.
-
Guy James Lefort, MD
-
Estelle Oertling, MD
-
Julia Schweizer, M.D.
-
Matthew Warner Stark, M.D.
-
Ewa Wasilewska, M.D.
-
Deborah D Brahee, MD, DC, DACBR
-
Hannah Duggan, MD
-
Melanie Duhamel, DO
-
Benjamin Leonard Fortson, M.D.
-
Michelle Ann Galvez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Manning Family Children'S |
Hospital | Operational/Managerial Control | Jan 1, 2004 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031229000715 | LA | Part B Supplier - Clinic/Group Practice | 3971401944 |
Receives reassigned benefits from 221 practitioners Practice locations: Metairie, LA; Slidell, LA; New Orleans, LA; Marrero, LA; La Place, LA; Destrehan, LA; Covington, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 256 | LA | Yes |
| Emergency Medicine Physician |
207P00000X | |||
| Pediatric Emergency Medicine (Emergency Medicine) Physician |
207PP0204X | |||
| Adolescent Medicine (Internal Medicine) Physician |
207RA0000X | |||
| Clinical Pathology Physician |
207ZC0006X | |||
| Anatomic Pathology & Clinical Pathology Physician |
207ZP0102X | |||
| Pediatric Pathology Physician |
207ZP0213X | |||
| Pediatrics Physician |
208000000X | |||
| Child Abuse Pediatrics Physician |
2080C0008X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician |
2080P0204X | |||
| Pediatric Infectious Diseases Physician |
2080P0208X | |||
| Neuroradiology Physician |
2085N0700X | |||
| Pediatric Radiology Physician |
2085P0229X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Physical Therapist |
225100000X |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5720
Mailing address
200 Hney Clay Ave
New Orleans, LA 70118
Phone (504) 896-9511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1754480 | Medicaid | LA |
Other names
- Manning Family Children's
Other providers in New Orleans, LA
- Child & Adolescent Behavioral Health System/Midtown Clinic
- Child & Adolescent Behavioral Health System/West Bank Clinic
- Child&Adolescent Behavioral Health System
- Children' S Hospital
- Children'S Autism Center, LLC
- Children'S Hospital
- Children'S Hospital
- Children'S Hospital
- Children'S Hospital
- Children'S Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.