Individual provider Active NPI

Patricia C Estrada, M.D.

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1316143308
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08129R Issued in LA
Practice address
4701 Westbank Expy
Suite #7
Marrero, LA 70072-3050
Phone
(504) 341-0906
Fax
(504) 349-3389
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 08129R LA Primary

Addresses

Primary practice location

4701 Westbank Expy
Suite #7
Marrero, LA 70072-3050

Mailing address

4701 Westbank Expy
Suite #7
Marrero, LA 70072-3050
Phone (504) 341-0906

Other identifiers 5

IdentifierTypeStateIssuer
E14875OtherLAUPIN
5C660OtherLAMEDICARE
1911402MedicaidLA
721302376OtherLAPROVIDER TAXONOMIES #
08129ROtherLALA. STATE LICENSE #

Other names 1

  • Dr. Patricia C Estrada Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000319 LA Practitioner - Family Practice 5395763254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Wichers Dr
Suite 101
Marrero, LA 70072-3054
Phone (504) 341-0906

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
08129RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia C Estrada MD, Apmc Family Medicine CurrentSince Jul 1, 1995 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4700 Wichers Dr
Ste 101
Marrero, LA 70072
Phone (504) 341-0906

4701 Westbank Expy
Ste 7
Marrero, LA 70072
Phone (504) 341-0906

1111 Medical Center Blvd
Ste S340
Marrero, LA 70072
Phone (504) 328-5703

Interoperability endpoints

  • Direct secure messaging: patricia.estrada.1@12260.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1316143308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 WESTBANK EXPY",
            "address_2": "SUITE #7",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723050",
            "telephone_number": "504-341-0906",
            "fax_number": "504-349-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 WESTBANK EXPY",
            "address_2": "SUITE #7",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723050",
            "telephone_number": "504-341-0906",
            "fax_number": "504-349-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRADA",
        "first_name": "PATRICIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "08129R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E14875",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5C660",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1911402",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMIES #",
            "identifier": "721302376",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA. STATE LICENSE #",
            "identifier": "08129R",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ESTRADA",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.