Organization Active NPI

Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • New Orleans, LA
National Provider Identifier
1073689667
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH
Practice address
1450 Poydras St Ste 1945
New Orleans, LA 70112-1227
Phone
(504) 568-3420
Fax
(504) 568-8200
NPI assigned
Nov 27, 2006
Last updated
Sep 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Authorized official

Name
Dorothy Sue Crotwell
Title
Program Manager
Phone
(504) 568-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X LA Primary

Addresses

Primary practice location

1450 Poydras St Ste 1945
New Orleans, LA 70112-1227

Mailing address

PO Box 61979
New Orleans, LA 70161-1979
Phone (504) 568-2600

Other identifiers 1

IdentifierTypeStateIssuer
2302175MedicaidLA

Other names 1

  • Immunization Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815000393 LA Part B Supplier - Clinic/Group Practice 5890700694 Receives reassigned benefits from 71 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Road of Greater Baton Rouge-Nurse Family Partnership24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

1450 Poydras St
Ste 1945
New Orleans, LA 70112
Phone (504) 568-3420

1676 Gravier St
New Orleans, LA 70112
Phone (504) 568-8733

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569369600000",
    "number": "1073689667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61979",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701611979",
            "telephone_number": "504-568-2600",
            "fax_number": "504-568-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 POYDRAS ST STE 1945",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121227",
            "telephone_number": "504-568-3420",
            "fax_number": "504-568-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA DEPARTMENT OF HEALTH - OFFICE OF PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-09-25",
        "status": "A",
        "authorized_official_last_name": "CROTWELL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "504-568-3420"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2302175",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immunization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.