Individual provider Active NPI

F. Jefferson Liner Jr., M. D.

  • Surgery Physician
  • Hammond, LA
National Provider Identifier
1245217702
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
013817 Issued in LA
Practice address
120 N Cate St
Hammond, LA 70401-3357
Phone
(985) 542-1364
Fax
(985) 542-8679
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 013817 LA Primary

Addresses

Primary practice location

120 N Cate St
Hammond, LA 70401-3357

Mailing address

PO Box 2308
Hammond, LA 70404-2308
Phone (985) 542-1364

Other identifiers 1

IdentifierTypeStateIssuer
1199638MedicaidLA

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
I20110303000998 LA Practitioner - General Surgery 1850466954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 N Cate St
Hammond, LA 70401-3357
Phone (985) 542-1364

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • Lallie Kemp Medical Center Hospital, Independence, LA, CCN 191321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision1-10
Removal of tissue16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013817LAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Liner Jr & Dorothy Lewis PTRS Surgery CurrentSince Aug 1, 2008 Accepting new patients
Dorothy Lewis MD, LLC Surgery PastSince Jul 24, 2022 Accepting new patients

Locations

120 N Cate St
Hammond, LA 70401
Phone (504) 542-1364

Organizations & group practices 2

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1245217702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2308",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704042308",
            "telephone_number": "985-542-1364",
            "fax_number": "985-542-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N CATE ST",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704013357",
            "telephone_number": "985-542-1364",
            "fax_number": "985-542-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINER",
        "first_name": "F.",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "013817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1199638",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.