Active NPI
Jefferson Pulmonary Associates
- Pulmonary Disease Physician
- Metairie, LA
National Provider Identifier
1144274374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1448982 | Medicaid | LA | |
| 5F766 | Other | LA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
Interoperability endpoints
- 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.