Medical Plaza ENT Physicians a Professional Medical Corp

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MEDICAL PLAZA ENT PHYSICIANS A PROFESSIONAL MEDICAL CORP

Doing business as

Medical Plaza ENT Physicians

Practice address

4228 Houma Blvd
Suite 110
Metairie, LA 70006-3000

Phone

(504) 455-3434

Fax

(504) 455-5477

NPI assigned

Jul 18, 2008

Organization subpart

No

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

Authorized official

Name

Glenda Dantin

Title

Office Manager

Phone

(504) 455-3434

Specialties & licenses 1

Addresses

Other names 1

• Medical Plaza ENT Physicians Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Robert G Brousse, M.D.

  • Specialist
  • Metairie, LA
  • NPI 1699873141

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Renee T Fisher, M.C.D, CCC-A

  • Audiologist-Hearing Aid Fitter
  • Metairie, LA
  • NPI 1578728622
  Medicare reassignment Care Compare group NPD
• Herbert W Marks, MD

  • Specialist
  • Metairie, LA
  • NPI 1417053653
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1124283163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-455-3434",
            "fax_number": "504-455-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-455-3434",
            "fax_number": "504-455-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA ENT PHYSICIANS A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-18",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "DANTIN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-455-3434"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Plaza ENT Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Plaza ENT Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren McWhorter, PLPC
• Dylan Prescott Means
• Terrinisha K Meare
• Medical Diagnostic Imaging Service
• Medical Monitoring of Louisiana, LLC
• Medical Plaza Hearing, L.L.C.
• Medical Services, Inc.
• Emily Jensen Medine, PHARMD
• Medmeal Direct, LLC
• Brooke Mehle

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.