Organization Active NPI

West Jefferson Anesthesia & Pain

  • Anesthesiology Physician
  • New Orleans, LA
National Provider Identifier
1073799581
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD09619R Issued in LA
Legal business name
WEST JEFFERSON ANESTHESIA & PAIN
Practice address
11 Eagle Point Dr
New Orleans, LA 70131-3380
Phone
(504) 723-5313
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Jayachandra R Induru, MD
Title
Owner
Phone
(504) 723-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD09619R LA Primary

Addresses

Primary practice location

11 Eagle Point Dr
New Orleans, LA 70131-3380

Mailing address

11 Eagle Point Dr
New Orleans, LA 70131-3380
Phone (504) 723-5313

Other identifiers 1

IdentifierTypeStateIssuer
1961400MedicaidLA

National Provider Directory

National Provider Directory

Locations

4041 Williams Blvd
Ste A9
Kenner, LA 70065
Phone (504) 487-0455

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1073799581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE POINT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313380",
            "telephone_number": "504-723-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE POINT DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313380",
            "telephone_number": "504-723-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON ANESTHESIA & PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "INDURU",
        "authorized_official_first_name": "JAYACHANDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-723-5313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD09619R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961400",
            "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 Jan 21, 2008; 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.