Individual provider Active NPI

Ericka Theresa Flood, M.D.

  • Family Medicine Physician
  • Gonzales, LA
National Provider Identifier
1346419462
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.204208 Issued in LA
Practice address
2400 S Burnside Ave
Gonzales, LA 70737-4645
Phone
(225) 761-5211
Fax
(225) 761-5266
NPI assigned
Feb 22, 2008
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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 MD.204208 LA Primary

Addresses

Primary practice location

2400 S Burnside Ave
Gonzales, LA 70737-4645

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other practice location 1

17581 Old Jefferson Hwy
Prairieville, LA 70769-3930
Phone (225) 755-9779

Other identifiers 1

IdentifierTypeStateIssuer
1000299MedicaidLA

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
I20101123000930 LA Practitioner - Family Practice 5193911618 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204208LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Dec 14, 2022 Accepting new patients
Convenient Care LLC Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Convenient Care LLC CurrentSince Oct 16, 2010 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 14, 2022 Accepting new patients
Metabolic Center of Louisiana Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

2400 S Burnside Ave
Gonzales, LA 70737
Phone (225) 709-2410

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1662/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1346419462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S BURNSIDE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374645",
            "telephone_number": "225-761-5211",
            "fax_number": "225-761-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17581 Old Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707693930",
            "country_code": "US",
            "telephone_number": "225-755-9779",
            "fax_number": "225-452-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "ERICKA",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.204208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000299",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

Verify at the official NPI Registry.