Jefferson Headache and Spine,L.L.C.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

MD.08395R Issued in LA

Legal business name

JEFFERSON HEADACHE AND SPINE,L.L.C.

Practice address

3800 Houma Blvd Ste 110
Metairie, LA 70006-4150

Phone

(504) 455-4999

Fax

(504) 455-9031

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rajiv Khurana, M.D.NPI 1649337700

Title

Member and Sole Proprietor

Phone

(504) 455-4999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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

• Rajiv Khurana, M.D.

  • Neurology Physician
  • Metairie, LA
  • NPI 1649337700
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1295916062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064150",
            "telephone_number": "504-455-4999",
            "fax_number": "504-455-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD STE 110",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064150",
            "telephone_number": "504-455-4999",
            "fax_number": "504-455-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON HEADACHE AND SPINE,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "MEMBER  AND SOLE PROPRIETOR",
        "authorized_official_telephone_number": "504-455-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "LA",
            "license": "MD.08395R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace Jeanfreau Jr., M.D.
• Shavon Jeanpierre
• Gabrielle Jeansonne I
• Jeffcare
• Jefferson Ambulatory Surgery Center LLC
• Jefferson Medical Group, LLC
• Jefferson Neurological Associates, Apmc
• Jefferson OB GYN Associates
• Jefferson Orthopedics Inc
• Jefferson Parish School Based Health Center

• Multi-Specialty Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.