NPIMap

Organization Active NPI

Bone & Joint Clinic

  • Orthopaedic Surgery Physician
  • Marrero, LA
National Provider Identifier
1174522122
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BONE & JOINT CLINIC
Practice address
4633 Wichers Dr
Marrero, LA 70072-3002
Phone
(504) 347-5421
Fax
(504) 378-9331
NPI assigned
Jul 20, 2005
Last updated
May 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Daniel J Gallagher, MDNPI 1437186178
Title
Secretary
Phone
(504) 347-5421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

4633 Wichers Dr
Marrero, LA 70072-3002

Mailing address

2600 Belle Chasse Hwy
Suite I
Terrytown, LA 70056-7156
Phone (504) 391-7670

Other identifiers 2

IdentifierTypeStateIssuer
1109347MedicaidLA
0222340001OtherLAMEDICARE NSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1174522122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HWY",
            "address_2": "SUITE I",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-391-7670",
            "fax_number": "504-378-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 WICHERS DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723002",
            "telephone_number": "504-347-5421",
            "fax_number": "504-378-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE & JOINT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "504-347-5421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109347",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0222340001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 8, 2008; 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.