Loyola University New Orleans Student Health Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LOYOLA UNIVERSITY NEW ORLEANS STUDENT HEALTH CENTER

Practice address

6363 Saint Charles Ave # 200
New Orleans, LA 70118-6195

Phone

(504) 616-9710

Fax

(504) 865-2382

NPI assigned

May 5, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Brian P Fath

Title

Consultant

Phone

(504) 616-9710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1154904233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 SAINT CHARLES AVE # 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701186195",
            "telephone_number": "504-616-9710",
            "fax_number": "504-865-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 SAINT CHARLES AVE # 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701186195",
            "telephone_number": "504-616-9710",
            "fax_number": "504-865-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA UNIVERSITY NEW ORLEANS STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "FATH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "504-616-9710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.