Active NPI
Gulf Coast Medical Management
Doing business as Gulf Coast Community Health Center
- Family Medicine Physician
- Marrero, LA
National Provider Identifier
1225200298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GULF COAST MEDICAL MANAGEMENT
- Doing business as
- Gulf Coast Community Health Center
- Practice address
- 1200 Avenue G
Suite# 201
Marrero, LA 70072-3765 - Phone
- (504) 708-2726
- Fax
- (504) 324-2229
- NPI assigned
- Mar 30, 2008
- Last updated
- Mar 30, 2008
- Organization subpart
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Naveed Suraiya, MD
- Title
- Medical Director
- Phone
- (504) 708-2726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1200 Avenue G
Suite# 201
Marrero, LA 70072-3765
Mailing address
1200 Avenue G
Suite# 201
Marrero, LA 70072-3765
Phone (504) 708-2726
Other names 1
- Gulf Coast Community Health Center
National Provider Directory
National Provider Directory- Part of
- Gulf Coast Medical Management
Locations
1200 Avenue G
Ste 201
Marrero, LA 70072
Phone (504) 367-8577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206835200000",
"number": "1225200298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 AVENUE G",
"address_2": "SUITE# 201",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723765",
"telephone_number": "504-708-2726",
"fax_number": "504-324-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 AVENUE G",
"address_2": "SUITE# 201",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723765",
"telephone_number": "504-708-2726",
"fax_number": "504-324-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST MEDICAL MANAGEMENT",
"organizational_subpart": "YES",
"enumeration_date": "2008-03-30",
"last_updated": "2008-03-30",
"status": "A",
"authorized_official_last_name": "SURAIYA",
"authorized_official_first_name": "NAVEED",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "504-708-2726",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gulf Coast Community Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 30, 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.