NPIMap

Individual provider Active NPI

Constance M Gistand, MD

  • Internal Medicine Physician
  • Marrero, LA
National Provider Identifier
1225014327
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
023979 Issued in LA
Practice address
1101 Medical Center Blvd
Attn: Medical Staff Office
Marrero, LA 70072-3147
Phone
(504) 349-1119
Fax
(504) 349-1146
NPI assigned
Dec 20, 2005
Last updated
Aug 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 023979 LA Primary

Addresses

Primary practice location

1101 Medical Center Blvd
Attn: Medical Staff Office
Marrero, LA 70072-3147

Mailing address

1101 Medical Center Blvd
Attn: Medical Staff Office
Marrero, LA 70072-3147
Phone (504) 349-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304000745 LA Practitioner - HospitalistPractitioner - Internal Medicine 1355238148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023979LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Sep 16, 2021 Accepting new patients
St Tammany Parish Hospital Service District No 1 Internal Medicine CurrentSince Feb 15, 2021 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 16, 2021 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Feb 15, 2021 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
WJH Physician Services Internal Medicine Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients
Parish Hospital Service District for the Parish of Orleans Dist a Past Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine Past Accepting new patients

Locations

2351 Vandenburg Dr
Alexandria, LA 71303
Phone (318) 483-7337

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4200 Houma Blvd
#5
Metairie, LA 70006

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2021 Perdido St
New Orleans, LA 70112
Phone (504) 412-1800

5640 Read Blvd
Ste 550
New Orleans, LA 70127
Phone (504) 241-9000

Organizations & group practices 10

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1225014327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "address_2": "ATTN: MEDICAL STAFF OFFICE",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1119",
            "fax_number": "504-349-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "address_2": "ATTN: MEDICAL STAFF OFFICE",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1119",
            "fax_number": "504-349-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISTAND",
        "first_name": "CONSTANCE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "023979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.