Kenner Physician Associates, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

023871 Issued in LA

Legal business name

KENNER PHYSICIAN ASSOCIATES, LLC

Practice address

200 W Esplanade Ave
Suite 106
Kenner, LA 70065-2489

Phone

(504) 712-7000

Fax

(504) 712-7040

NPI assigned

Jan 18, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Brandon Simeon, M.D.NPI 1093784696

Title

Member

Phone

(504) 712-7000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Brandon Simeon, M.D.

  • Internal Medicine Physician
  • Kenner, LA
  • NPI 1093784696
  Medicare reassignment Authorized official
• Michelle Mireille Davis, M.D.

  • Family Medicine Physician
  • Metairie, LA
  • NPI 1104898576
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295887149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 106",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-712-7000",
            "fax_number": "504-712-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNER PHYSICIAN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIMEON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-712-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "023871",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "023871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakeitha Kelly
• Kenner Dental Associates, LLC (Louisiana Dental Center)
• Kenner Dental Company LLC
• Kenner Emergency Group LLC
• Kenner Outpatient Surgery Center
• James E Kerl, M.D.
• KG Express Transportation, LLC
• Kamran Khan, MD
• Kidney Counsultants LLC
• Angela W Kilbourn, CRNA

• Pediatrics Physician in Kenner, LA
• Providers in Kenner, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.