Active NPI
Washington Avenue Medical Plaza
- Ophthalmology Physician
- New Orleans, LA
National Provider Identifier
1306917091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 9136
- Legal business name
- WASHINGTON AVENUE MEDICAL PLAZA
- Practice address
- 2121 Magazine St
New Orleans, LA 70130-5045 - Phone
- (504) 592-9818
- Fax
- (504) 525-0152
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jobie Fitzgerald Crear, M.D.
- Title
- President
- Phone
- (504) 592-9818
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 9136 | LA | Primary |
Addresses
Primary practice location
2121 Magazine St
New Orleans, LA 70130-5045
Mailing address
2121 Magazine St
New Orleans, LA 70130-5045
Phone (504) 592-9818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1440523 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
7855 Howell Blvd
Ste 130A
Baton Rouge, LA 70807
Phone (225) 356-2655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1306917091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 MAGAZINE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701305045",
"telephone_number": "504-592-9818",
"fax_number": "504-525-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 MAGAZINE ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701305045",
"telephone_number": "504-592-9818",
"fax_number": "504-525-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON AVENUE MEDICAL PLAZA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "CREAR",
"authorized_official_first_name": "JOBIE",
"authorized_official_middle_name": "FITZGERALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "504-592-9818",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "LA",
"license": "9136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1440523",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.