Organization Active NPI

Plaza Medical Center, LTD

  • Chiropractor
  • New Orleans, LA
National Provider Identifier
1063692705
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
904 Issued in LA
Legal business name
PLAZA MEDICAL CENTER, LTD
Practice address
4301 Elysian Fields Ave
103
New Orleans, LA 70122-3875
Phone
(504) 324-6416
Fax
(504) 324-6417
NPI assigned
Nov 9, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Fritz G Fidele, DCNPI 1639361561
Title
Owner
Phone
(504) 324-6416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 904 LA Primary

Addresses

Primary practice location

4301 Elysian Fields Ave
103
New Orleans, LA 70122-3875

Mailing address

4301 Elysian Fields Ave
103
New Orleans, LA 70122-3875
Phone (504) 324-6416

Other identifiers 1

IdentifierTypeStateIssuer
904OtherLALICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1063692705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 ELYSIAN FIELDS AVE",
            "address_2": "103",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223875",
            "telephone_number": "504-324-6416",
            "fax_number": "504-324-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 ELYSIAN FIELDS AVE",
            "address_2": "103",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701223875",
            "telephone_number": "504-324-6416",
            "fax_number": "504-324-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA MEDICAL CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "FIDELE",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-324-6416",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "904",
            "state": "LA"
        }
    ],
    "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 Nov 9, 2007; 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.