Ketamine Infusion Center LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KETAMINE INFUSION CENTER LLC

Practice address

3100 Galleria Dr Ste 200
Metairie, LA 70001-2196

Phone

(504) 354-8567

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Brian Ball, MDNPI 1366440877

Title

Diretor

Phone

(985) 317-9242

Specialties & licenses 1

Addresses

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Curtis Ball, MD

  • Anesthesiology Physician
  • Covington, LA
  • NPI 1366440877
  NPD (past) Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1104409598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JULIA ST APT 3F",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701132013",
            "telephone_number": "985-373-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GALLERIA DR STE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012196",
            "telephone_number": "504-354-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1978 N Highway 190 Ste B",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "704335158",
            "country_code": "US",
            "telephone_number": "985-317-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KETAMINE INFUSION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRETOR",
        "authorized_official_telephone_number": "985-317-9242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kicenterla@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3100 Galleria Dr Ste 200",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700012196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kicenterla@gmail.com",
            "affiliation": "N",
            "address_1": "1978 N Highway 190 Ste B",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704335158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ruba Kenyi
• Kathryn Kerisit, MD, MPH
• Karen Kern, M.D.
• Olivia Kerth, PA-C
• Stephen Charles Kessler, LPC, LAC
• Amaya Mallory Ketchens
• Kevin J. Bianchini, PH.D., LLC
• Katherine B Key, M.C.D.
• Samantha Keyes
• Linda Keys, RPH

• Anesthesiology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Anesthesiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.