NPIMap

Organization Active NPI

East Jefferson General Hospital

  • General Acute Care Hospital
  • Metairie, LA
National Provider Identifier
1306133483
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PHY-.004214-HOS Issued in LA
Legal business name
EAST JEFFERSON GENERAL HOSPITAL
Practice address
4200 Houma Blvd
Metairie, LA 70006-2970
Phone
(504) 454-4855
Fax
(504) 454-4860
NPI assigned
Jul 8, 2011
Last updated
Dec 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Mr. James Revels
Title
Director
Phone
(504) 503-4804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PHY-.004214-HOS LA Primary

Addresses

Primary practice location

4200 Houma Blvd
Metairie, LA 70006-2970

Mailing address

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-4804

National Provider Directory

National Provider Directory
Tax ID family
Robert G Weilbaecher MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1306133483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-503-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062970",
            "telephone_number": "504-454-4855",
            "fax_number": "504-454-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST JEFFERSON GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "REVELS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-503-4804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "LA",
            "license": "PHY-.004214-HOS",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 20, 2017; 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.