Individual provider Active NPI

Stacey Leigh Holman, M.D.

  • Obstetrics & Gynecology Physician
  • New Orleans, LA
National Provider Identifier
1225246291
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
200285 Issued in LA
Practice address
3700 Saint Charles Ave
New Orleans, LA 70115-4637
Phone
(504) 412-1520
Fax
(504) 412-1534
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 200285 LA Primary

Addresses

Primary practice location

3700 Saint Charles Ave
New Orleans, LA 70115-4637

Mailing address

1542 Tulane Ave RM 520
Department of OBGYN
New Orleans, LA 70112-2865
Phone (504) 568-4850

Other identifiers 1

IdentifierTypeStateIssuer
1074420MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080809000048 LA Practitioner - Obstetrics/Gynecology 9830263813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

2832 Burdette St
New Orleans, LA 70125-2514
Phone (504) 866-2741

3700 Saint Charles Ave
New Orleans, LA 70115-4637
Phone (504) 412-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.21 of 100Reported as group
Quality
81.06
Promoting interoperability
100
Improvement activities
40
Cost
71.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2008 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2008 Accepting new patients
Louisiana State University School of Med in New Orleans Faculty Grou CurrentSince May 6, 2018 Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

2000 Canal St
Fl 5
New Orleans, LA 70112
Phone (504) 702-4333

3700 Saint Charles Ave
#6
New Orleans, LA 70115

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

3700 Saint Charles Ave
New Orleans, LA 70115
Phone (504) 895-7428

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1542 Tulane Ave
Rm 520
New Orleans, LA 70112

3700 Saint Charles Ave
Fl Fifth
New Orleans, LA 70115

2025 Gravier St
Fl 6
New Orleans, LA 70112

3700 Saint Charles Ave
Fl 5
New Orleans, LA 70115
Phone (504) 412-1520

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1225246291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVE RM 520",
            "address_2": "DEPARTMENT OF OBGYN",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122865",
            "telephone_number": "504-568-4850",
            "fax_number": "504-568-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "504-412-1520",
            "fax_number": "504-412-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "STACEY",
        "middle_name": "LEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "200285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1074420",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.