Metairie Orthopedics & Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

METAIRIE ORTHOPEDICS & SPORTS MEDICINE

Practice address

3001 Division St
Ste 204
Metairie, LA 70002-5854

Phone

(504) 541-5800

Fax

(504) 541-5801

NPI assigned

Apr 25, 2019

Last updated

Sep 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Bostick III, MDNPI 1518916915

Title

Owner/Physician

Phone

(504) 541-5800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Robert Douglas Bostick III, M.D.

  • Orthopaedic Surgery Physician
  • Metairie, LA
  • NPI 1518916915
  Medicare reassignment Care Compare group NPD Authorized official
• John Christian Hildenbrand IV, M.D.

  • Orthopaedic Hand Surgery Physician
  • Thibodaux, LA
  • NPI 1174662936

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Ryan Charles Roubion, M.D.

  • Orthopaedic Surgery Physician
  • Metairie, LA
  • NPI 1154862456
  Medicare reassignment Care Compare group NPD
• Kristina N Vidrine, P.A.

  • Physician Assistant
  • Marrero, LA
  • NPI 1629365408
  Medicare reassignment Care Compare group
• Amy Phillips Gonzalez, PA

  • Physician Assistant
  • Covington, LA
  • NPI 1346713930
  Medicare reassignment

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

{
    "created_epoch": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664323200000",
    "number": "1184288128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DIVISION ST STE 204",
            "address_2": "STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025855",
            "telephone_number": "504-541-5800",
            "fax_number": "504-541-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DIVISION ST",
            "address_2": "STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700025854",
            "telephone_number": "504-541-5800",
            "fax_number": "504-541-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAIRIE ORTHOPEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A",
        "authorized_official_last_name": "BOSTICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "504-541-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metairie la Endoscopy ASC LLC (MGA Gastrointestinal Diagnostic and Therapeutic Center-Metairie)
• Metairie Medical LLC
• Metairie Operations, LLC (Metairie Health Care Center)
• Metairie Ophthalmology ASC LLC
• Metairie Ophthalmology ASC LLC (Ambulatory Eye Surgery Center of Louisiana)
• Metairie Physician Services Inc.
• Metairie Primary Care
• Metairie Total Health LLP
• Metairie Total Wellness Clinic, LLC
• Metoms LLC.

• Orthopaedic Surgery Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.