Active NPI
Plaza Medical Center, LTD
- Chiropractor
- New Orleans, LA
National Provider Identifier
1063692705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 904
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fritz G Fidele, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 904 | Other | LA | LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- New Orleans, LA
- NPI 1639361561
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.