Active NPI
Oleitha Wilson-Ruffin, M.D.
- Pediatrics Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 025015
- Practice address
- 4225 Lapalco Blvd
Marrero, LA 70072-4324 - Phone
- (504) 391-7337
- Fax
- (504) 398-7213
- NPI assigned
- Sep 26, 2005
- Last updated
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 025015 | LA | Primary |
Addresses
Primary practice location
4225 Lapalco Blvd
Marrero, LA 70072-4324
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
1055 David Dr.
Morgan City, LA 70380
Phone (985) 384-2430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1422371 | Medicaid | LA |
Other names 1
- Oleitha Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025015 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Pediatrics | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| HPC Biologicals Inc | Past | Accepting new patients | |
| Pediatric Clinic of St Mary Parish Apmc | Pediatrics | Past | Accepting new patients |
Locations
4225 Lapalco Blvd
Marrero, LA 70072
Phone (504) 391-7337
1514 Jefferson Hwy
New Orleans, LA 70121
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
625 W William Ave
#100
North Platte, NE 69101
Phone (308) 568-3580
Interoperability endpoints
- owilsonruffin883639@direct.ochsner.org
- phys_oleitha_wilson-ruffin__md@yourcarecommunity.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
dba Great Plains Health
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
dba Diabetes Prevention Program
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
dba Ochsner Health Center - Lake Terrace
- Internal Medicine Physician
- New Orleans, LA
- NPI 1902367360
-
dba Great Plains Health
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
Pediatrics
-
- Specialty Pharmacy
- Morgan City, LA
- NPI 1265788707
-
- Pediatrics Physician
- Morgan City, LA
- NPI 1679569560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1174519045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HWY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701212429",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 LAPALCO BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700724324",
"telephone_number": "504-391-7337",
"fax_number": "504-398-7213"
}
],
"practiceLocations": [
{
"address_1": "1055 David Dr.",
"address_purpose": "LOCATION",
"city": "Morgan City",
"state": "LA",
"postal_code": "70380",
"country_code": "US",
"telephone_number": "985-384-2430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON-RUFFIN",
"first_name": "OLEITHA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "025015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1422371",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "OLEITHA",
"last_name": "WILSON",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.