WJH Physician Services D/B/a West Jefferson Physicians Services

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WJH PHYSICIAN SERVICES D/B/A WEST JEFFERSON PHYSICIANS SERVICES

Practice address

1101 Medical Center Blvd
Pediatric ER
Marrero, LA 70072-3147

Phone

(504) 349-1555

Fax

(504) 349-1146

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Heidi A Gwinn

Title

Credentialing Coord.

Phone

(504) 349-1297

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• West Jefferson Medical Center Pediatric ER Doing business as

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1366517351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "address_2": "ATTN: HEIDI GWINN",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1555",
            "fax_number": "504-349-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD",
            "address_2": "PEDIATRIC ER",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723147",
            "telephone_number": "504-349-1555",
            "fax_number": "504-349-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJH PHYSICIAN SERVICES D/B/A WEST JEFFERSON PHYSICIANS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORD.",
        "authorized_official_telephone_number": "504-349-1297"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942545",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Jefferson Medical Center Pediatric ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rishard Winford
• Alexandra M Wirth
• Carmen M Wisinski, LCSW
• Emily Witt
• WJH Physician Services
• Kristin Leigh Ann Wolfe, MSW, GSW
• Randolph Joesph Wolfe, D.D.S.
• Courtney Alison Wolverton
• Women'S Wellness Center
• Alexander D Wong, DNP, CRNA

• Pediatrics Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.