Organization Active NPI

Lupin Womens Health Services, LLC

  • Obstetrics & Gynecology Physician
  • Gretna, LA
National Provider Identifier
1336487206
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L007673 Issued in LA
Legal business name
LUPIN WOMENS HEALTH SERVICES, LLC
Practice address
120 Meadowcrest St
Suite 350
Gretna, LA 70056-5255
Phone
(504) 391-7678
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Ellis Ralph Lupin, MD
Title
Owner
Phone
(504) 391-7678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L007673 LA Primary

Addresses

Primary practice location

120 Meadowcrest St
Suite 350
Gretna, LA 70056-5255

Mailing address

828 Chartres St
New Orleans, LA 70116-3266
Phone (504) 391-7678

Other identifiers 1

IdentifierTypeStateIssuer
1054003MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1336487206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 CHARTRES ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701163266",
            "telephone_number": "504-391-7678",
            "fax_number": "504-391-7614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEADOWCREST ST",
            "address_2": "SUITE 350",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565255",
            "telephone_number": "504-391-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUPIN WOMENS HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "LUPIN",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-391-7678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "L007673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1054003",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.