Organization Active NPI

East Bank Gastroenterology LLC

  • Gastroenterology Physician
  • Metairie, LA
National Provider Identifier
1295731354
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
410437 Issued in LA
Legal business name
EAST BANK GASTROENTEROLOGY LLC
Practice address
3800 Houma Blvd
Ste 220
Metairie, LA 70006-4151
Phone
(504) 456-7484
Fax
(504) 456-6829
NPI assigned
Jun 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Christopher N Barrilleaux, MDNPI 1639174881
Title
Partner
Phone
(504) 456-7484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 410437 LA Primary

Addresses

Primary practice location

3800 Houma Blvd
Ste 220
Metairie, LA 70006-4151

Mailing address

PO Box 8447
Metairie, LA 70011-8447
Phone (504) 835-5115

Other identifiers 1

IdentifierTypeStateIssuer
1948811MedicaidLA

National Provider Directory

National Provider Directory

Locations

3800 Houma Blvd
Ste 210
Metairie, LA 70006
Phone (504) 455-6310

3800 Houma Blvd
Ste 220
Metairie, LA 70006
Phone (504) 456-7484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1295731354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8447",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700118447",
            "telephone_number": "504-835-5115",
            "fax_number": "504-833-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "STE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064151",
            "telephone_number": "504-456-7484",
            "fax_number": "504-456-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BANK GASTROENTEROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "BARRILLEAUX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-456-7484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "410437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.