Active NPI
West Jefferson Anesthesia & Pain
- Anesthesiology Physician
- New Orleans, LA
National Provider Identifier
1073799581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD09619R
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1961400 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.