Individual provider Active NPI

Cynthia Gwennet Ausama, M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1104156496
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10864R Issued in LA
Practice address
200 Oakmont Drive
New Orleans, LA 70128-3623
Phone
(504) 949-5804
Fax
(504) 949-5805
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10864R LA Primary

Addresses

Primary practice location

200 Oakmont Drive
New Orleans, LA 70128-3623

Mailing address

200 Oakmont Drive
New Orleans, LA 70128-3623
Phone (504) 949-5804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10864RLAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1104156496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAKMONT DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283623",
            "telephone_number": "504-949-5804",
            "fax_number": "504-949-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAKMONT DRIVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701283623",
            "telephone_number": "504-949-5804",
            "fax_number": "504-949-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSAMA",
        "first_name": "CYNTHIA",
        "middle_name": "GWENNET",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10864R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.