NPIMap

Organization Active NPI

Office of Public Health -Genetics Diseases Program

  • Parenteral & Enteral Nutrition Supplies (DME)
  • New Orleans, LA
National Provider Identifier
1306012851
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
OFFICE OF PUBLIC HEALTH -GENETICS DISEASES PROGRAM
Practice address
1450 Poydras St Ste 2046
New Orleans, LA 70112
Phone
(504) 568-3420
Fax
(504) 568-8200
NPI assigned
May 5, 2008
Organization subpart
Yes
Parent organization
LA DEPARTMENT OF HEALTH- OFFICE OF PUBLIC HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Dorothy Sue Crotwell
Title
Program Manager
Phone
(504) 568-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

1450 Poydras St Ste 2046
New Orleans, LA 70112

Mailing address

PO Box 61979
New Orleans, LA 70161-1979
Phone (504) 568-3420

Other identifiers 1

IdentifierTypeStateIssuer
1437883MedicaidLA

Other names 1

  • Genetics Diseases Program Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140815000393 LA Part B Supplier - Clinic/Group Practice 5890700694 Receives reassigned benefits from 71 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Road of Greater Baton Rouge-Nurse Family Partnership24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

4720 S I 10 Service Rd W
Ste 3
Metairie, LA 70001

4720 S I 10 Service Rd W
Ste 401
Metairie, LA 70001
Phone (504) 780-6500

1450 Poydras St
Ste 2046
New Orleans, LA 70112
Phone (504) 568-3420

Practitioners & affiliated clinicians

Practitioners 5

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1306012851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61979",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701611979",
            "telephone_number": "504-568-3420",
            "fax_number": "504-568-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 POYDRAS ST STE 2046",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-568-3420",
            "fax_number": "504-568-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFFICE OF PUBLIC HEALTH -GENETICS DISEASES PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA DEPARTMENT OF HEALTH- OFFICE OF PUBLIC HEALTH",
        "enumeration_date": "2008-05-05",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "CROTWELL",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "504-568-3420"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437883",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetics Diseases Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 1, 2023; 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.