Individual provider Active NPI

Michael Queen

  • Anesthesiology Physician
  • Ocean Springs, MS
National Provider Identifier
1295034015
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD.207646 Issued in LA
Practice address
22 Doctors Dr
Suite C
Ocean Springs, MS 39564-5721
Phone
(678) 553-8150
Fax
(678) 553-8152
NPI assigned
Mar 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD.207646 LA Primary
Anesthesiology Physician 207L00000X 64878 MS

Addresses

Primary practice location

22 Doctors Dr
Suite C
Ocean Springs, MS 39564-5721

Mailing address

PO Box 3488
Dept #05-113
Tupelo, MS 38803-3488
Phone (678) 553-8150

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
I20150831002597 LA Practitioner - Anesthesiology 0749596153 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
The Capital City Anesthesia Group, LLCGroup PAC ID 1658272844, 49 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone 8662148600203

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4000

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.207646LAMDAnesthesiology Physician
64878MSMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zephyr Anesthesia, LLC Anesthesiology CurrentSince Jun 15, 2017 Accepting new patients
North Oaks Medical Center, LLC CurrentSince May 3, 2020 Accepting new patients
Childrens Hospital Anesthesia Corporation Anesthesiology CurrentSince May 9, 2017 Accepting new patients
The Capital City Anesthesia Group, LLC Anesthesiology CurrentSince Apr 9, 2024 Accepting new patients
Northlake Anesthesiologists, a Professional Corporation Anesthesiology CurrentSince Sep 14, 2015 Accepting new patients
Jefferson Anesthesia Consultants Anesthesiology CurrentSince Jan 13, 2026 Accepting new patients
Pontchartrain Surgery Center, LLC CurrentSince Dec 9, 2025 Accepting new patients

Locations (25 of 29)

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213

4407 Highway 190 East Service Rd
Covington, LA 70433
Phone (985) 234-9700

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515

2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

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

Organizations & group practices 7

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 4

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1295034015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "address_2": "DEPT #05-113",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033488",
            "telephone_number": "678-553-8150",
            "fax_number": "678-553-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DOCTORS DR",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645721",
            "telephone_number": "678-553-8150",
            "fax_number": "678-553-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.207646",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "64878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.