Patty E. Boustany, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD019014 Issued in LA

Practice address

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127

Phone

(504) 391-7778

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tenet Healthsystem Memorial Medical Center, Inc.

  dba Memorial Medical Center

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1821029117
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316010663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 AUDUBON TRCE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701211554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567127",
            "telephone_number": "504-391-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSTANY",
        "first_name": "PATTY",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "MD019014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bone and Joint Therapy Services
• Kathyrn S Bonvillian, DPT
• Carolyn Carnes Borne, PA
• Ann Borreson, M.D.
• Emma Treuil Bouligny, RN
• Kenesha Bradley, APRN
• Cassandra Denise Brandon, MD
• Robbin Marie Brehm
• Lillian Broome
• Alonquin Brown

• Anatomic Pathology & Clinical Pathology Physician in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.