NPIMap

Organization Active NPI

G Crenshaw

  • Vascular Surgery Physician
  • New Orleans, LA
National Provider Identifier
1225729874
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
G CRENSHAW
Practice address
1108 Valence St
New Orleans, LA 70115-2806
Phone
(601) 672-3601
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Lauren Gast
Title
Credentialing Manager
Phone
(985) 635-6943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1108 Valence St
New Orleans, LA 70115-2806

Mailing address

PO Box 1536
Mandeville, LA 70470-1536
Phone (985) 635-6943

Other names 1

  • G Crenshaw LLC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1225729874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704701536",
            "telephone_number": "985-635-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 VALENCE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701152806",
            "telephone_number": "601-672-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G CRENSHAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-05-01",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "985-635-6943"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G Crenshaw LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.