Individual provider Active NPI

Jeffrey Reid Claiborne, M.D.

  • Plastic Surgery Physician
  • Mandeville, LA
National Provider Identifier
1043539950
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
302203 Issued in LA
Practice address
3401 E Causeway Approach
Mandeville, LA 70448-3447
Phone
(985) 237-6050
Fax
(985) 237-6052
NPI assigned
May 18, 2010
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 302203 LA Primary

Addresses

Primary practice location

3401 E Causeway Approach
Mandeville, LA 70448-3447

Mailing address

3401 E Causeway Approach
Mandeville, LA 70448-3447
Phone (985) 237-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55747TNMDSchool Registered Nurse
302203LAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Plastic Surgery, LLC Plastic Surgery CurrentSince Apr 6, 2021 Accepting new patients
Northshore Plastic Surgery PastSince Oct 20, 2019 Accepting new patients

Locations

3401 E Causeway Approach
Mandeville, LA 70448
Phone (985) 237-6050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1043539950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 E CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483447",
            "telephone_number": "985-237-6050",
            "fax_number": "985-237-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 E CAUSEWAY APPROACH",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483447",
            "telephone_number": "985-237-6050",
            "fax_number": "985-237-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "JEFFREY",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "302203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.