Organization Active NPI

Pacemaker Clinic, Inc.

  • Health Service Clinic/Center
  • Metairie, LA
National Provider Identifier
1194887489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PACEMAKER CLINIC, INC.
Practice address
4925 Thrush St
Metairie, LA 70001-4443
Phone
(504) 887-5927
Fax
(504) 887-5981
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael R. Duplechin
Title
President
Phone
(504) 887-5927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

4925 Thrush St
Metairie, LA 70001-4443

Mailing address

4925 Thrush St
Metairie, LA 70001-4443
Phone (504) 887-5927

Other identifiers 1

IdentifierTypeStateIssuer
1166553MedicaidLA

National Provider Directory

National Provider Directory

Locations

4925 Thrush St
Metairie, LA 70001
Phone (504) 887-5927

Practitioners & affiliated clinicians

Practitioners 9

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194887489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 THRUSH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014443",
            "telephone_number": "504-887-5927",
            "fax_number": "504-887-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 THRUSH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700014443",
            "telephone_number": "504-887-5927",
            "fax_number": "504-887-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACEMAKER CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUPLECHIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-887-5927"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1166553",
            "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 Aug 22, 2020; 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.