Organization Active NPI

Lsuhsc New Orleans Physicians

  • Pediatric Adolescent Medicine Physician
  • New Orleans, LA
National Provider Identifier
1265702237
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
202226 Issued in LA
Legal business name
LSUHSC NEW ORLEANS PHYSICIANS
Practice address
1331 Kerlerec St
New Orleans, LA 70116-1819
Phone
(504) 947-3065
Fax
(504) 945-4968
NPI assigned
Jan 9, 2012
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Leone Coe
Title
Assistant Business Manager
Phone
(504) 896-2798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 202226 LA Primary

Addresses

Primary practice location

1331 Kerlerec St
New Orleans, LA 70116-1819

Mailing address

433 Bolivar St
New Orleans, LA 70112-7021
Phone (504) 359-1120

Other identifiers 1

IdentifierTypeStateIssuer
2195727MedicaidLA

Other names 1

  • McDonogh 35 College Preparatory School-Based Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Lsuhsc New Orleans Physicians3 organizations share this tax ID, including this one
Part of
Emergency Physicians

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1331 Kerlerec St
New Orleans, LA 70116
Phone (504) 947-3065

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1265702237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 BOLIVAR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701127021",
            "telephone_number": "504-359-1120",
            "fax_number": "504-861-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 KERLEREC ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701161819",
            "telephone_number": "504-947-3065",
            "fax_number": "504-945-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSUHSC NEW ORLEANS PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER",
        "enumeration_date": "2012-01-09",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "LEONE",
        "authorized_official_title_or_position": "ASSISTANT BUSINESS MANAGER",
        "authorized_official_telephone_number": "504-896-2798"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "202226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195727",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonogh 35 College Preparatory School-Based Health Center",
            "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 Jan 11, 2013; 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.