Organization Active NPI

Washington Avenue Medical Plaza

  • Ophthalmology Physician
  • New Orleans, LA
National Provider Identifier
1306917091
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9136 Issued in LA
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

Updated by the provider on Oct 10, 2007

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1440523MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.