Organization Active NPI

J. Coller Ochsner, M.D., LLC

  • Specialist
  • Metairie, LA
National Provider Identifier
1306036660
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD015824 Issued in LA
Legal business name
J. COLLER OCHSNER, M.D., LLC
Practice address
2323 Metairie Rd
Metairie, LA 70001-5561
Phone
(504) 831-6633
Fax
(504) 831-6654
NPI assigned
Aug 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. J. Coller Ochsner, M.D.
Title
Owner/M.D.
Phone
(504) 831-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD015824 LA Primary

Addresses

Primary practice location

2323 Metairie Rd
Metairie, LA 70001-5561

Mailing address

2323 Metairie Rd
Metairie, LA 70001-5561
Phone (504) 831-6633

Other identifiers 1

IdentifierTypeStateIssuer
1342238MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040923000757 LA Part B Supplier - Clinic/Group Practice 3971571225 Receives reassigned benefits from 2 practitioners
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

2323 Metairie Rd
Metairie, LA 70001
Phone (314) 831-6633

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": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1306036660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015561",
            "telephone_number": "504-831-6633",
            "fax_number": "504-831-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015561",
            "telephone_number": "504-831-6633",
            "fax_number": "504-831-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. COLLER OCHSNER, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "OCHSNER",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "COLLER",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "504-831-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD015824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1342238",
            "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 Aug 1, 2007; 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.