Organization Active NPI

Gulf Coast Medical Management

Doing business as Gulf Coast Community Health Center

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1225200298
Registry record updated Mar 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2008By the provider in NPPES
Organization subpart
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2008

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)CodeLicenseStatePrimary
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 Doing business as

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.

Verify at the official NPI Registry.