Active NPI
Prytania Pathology Associates, LLC
- Anatomic Pathology & Clinical Pathology Physician
- New Orleans, LA
National Provider Identifier
1275525974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- PRYTANIA PATHOLOGY ASSOCIATES, LLC
- Practice address
- 1401 Foucher St
New Orleans, LA 70115-3515 - Phone
- (504) 897-8418
- NPI assigned
- Aug 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Olivier, MD
- Title
- Partner
- Phone
- (504) 897-8418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1401 Foucher St
New Orleans, LA 70115-3515
Mailing address
PO Box 919930
Dallas, TX 75391-9390
Phone (985) 785-2221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1798193 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486684800000",
"number": "1275525974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919930",
"city": "DALLAS",
"state": "TX",
"postal_code": "753919390",
"telephone_number": "985-785-2221",
"fax_number": "985-785-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 FOUCHER ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701153515",
"telephone_number": "504-897-8418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRYTANIA PATHOLOGY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2017-02-10",
"status": "A",
"authorized_official_last_name": "OLIVIER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "504-897-8418",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1798193",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.