Organization Active NPI

Jefferson Pulmonary Associates

  • Pulmonary Disease Physician
  • Metairie, LA
National Provider Identifier
1144274374
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
JEFFERSON PULMONARY ASSOCIATES
Practice address
4200 Houma Blvd
3Rd Floor Respiratory Dept
Metairie, LA 70006-2970
Phone
(504) 454-5205
Fax
(504) 456-8019
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Thomas Nuttli, MD
Title
Director
Phone
(877) 241-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X LA Primary

Addresses

Primary practice location

4200 Houma Blvd
3Rd Floor Respiratory Dept
Metairie, LA 70006-2970

Mailing address

PO Box 73701
Metairie, LA 70033-3701
Phone (877) 241-1811

Other identifiers 2

IdentifierTypeStateIssuer
1448982MedicaidLA
5F766OtherLAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/DlenGenWw7p3GquvEFGvXhxTReSAOmjq/

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1144274374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73701",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700333701",
            "telephone_number": "877-241-1811",
            "fax_number": "888-849-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "address_2": "3RD FLOOR RESPIRATORY DEPT",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-454-5205",
            "fax_number": "504-456-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PULMONARY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "NUTTLI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-241-1811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448982",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5F766",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.