Childrens Medical Clinic Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDRENS MEDICAL CLINIC INC

Practice address

4701 Westbank Expy Ste 7
Marrero, LA 70072-3050

Phone

(504) 582-9922

Fax

(504) 582-9928

NPI assigned

Mar 13, 2007

Last updated

Aug 1, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CHILDREN'S MEDICAL CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Roselyn St Etienne, MDNPI 1003823691

Title

Physician

Phone

(504) 582-9922

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Childrens Medical Clinic Inc

Locations

Practitioners 3

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.

• Roselyn St Etienne

  • Pediatrics Physician
  • Marrero, LA
  • NPI 1003823691
  NPD Authorized official
• Stephanie Catherine Arnaud, M.D.

  • Pediatric Adolescent Medicine Physician
  • Gretna, LA
  • NPI 1316030851
  NPD (past)
• Corey Hebert

  • Pediatrics Physician
  • Gretna, LA
  • NPI 1457368037
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1225161706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 WESTBANK EXPY STE 7",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723050",
            "telephone_number": "504-582-9922",
            "fax_number": "504-582-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 WESTBANK EXPY STE 7",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723050",
            "telephone_number": "504-582-9922",
            "fax_number": "504-582-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEDICAL CLINIC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S MEDICAL CLINIC, INC.",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "ST ETIENNE",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-582-9922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564362",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1446319",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Charbonnet
• Charles Everson MD PC
• Felisha Charles, RN
• Caitlin Cheramie, PTA
• Cherie S Niles MD Apmc
• Christopher Michael Chivleatto, PHARM D.
• Nicole Christmas
• Robert J Chugden, MD
• Melissa Anais Clausen
• Cierra Clay

• Pediatrics Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.