Active NPI
Louis Oliver Jeansonne IV, M.D.
- Surgery Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD.201893
- Practice address
- 9001 Summa Avenue
Baton Rouge, LA 70809 - Phone
- (225) 761-5470
- NPI assigned
- Sep 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD.201893 | LA | Primary |
Addresses
Primary practice location
9001 Summa Avenue
Baton Rouge, LA 70809
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1325864 | Medicaid | LA | |
| 08255762 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Surgery | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Saint Alphonsus Medical Center Baker City, Inc | Surgery | Past | Accepting new patients |
Locations
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
9001 Summa Ave
Baton Rouge, LA 70809
16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- ljeansonne14558@direct.ochsner.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Multi-Specialty Clinic/Center
- Baton Rouge, LA
- NPI 1710120332
-
- Family Medicine Physician
- Baker City, OR
- NPI 1881726206
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1124120779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70121",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 SUMMA AVENUE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70809",
"telephone_number": "225-761-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEANSONNE",
"first_name": "LOUIS",
"middle_name": "OLIVER",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-03",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.201893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1325864",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08255762",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.