NPIMap

Organization Active NPI

Ochsner Clinic LLC

Doing business as Ochsner Health Center Bogalusa

  • General Practice Physician
  • Bogalusa, LA
National Provider Identifier
1366797110
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OCHSNER CLINIC LLC
Doing business as
Ochsner Health Center Bogalusa
Practice address
100 Red Cross PL
Bogalusa, LA 70427-3732
Phone
(985) 875-2828
NPI assigned
Jul 18, 2012
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OCHSNER CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Katherine K Cardwell
Title
Avp
Phone
(504) 842-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

100 Red Cross PL
Bogalusa, LA 70427-3732

Mailing address

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

Other names 1

  • Ochsner Health Center Bogalusa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000513 LA Part B Supplier - Clinic/Group Practice 8224933619 Receives reassigned benefits from 4,981 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Ochsner Medical Clinic222 organizations share this tax ID, including this one
Part of
Ochsner Medical Clinic

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

100 Red Cross Pl
Bogalusa, LA 70427
Phone (985) 735-1090

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1366797110",
    "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": "100 RED CROSS PL",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273732",
            "telephone_number": "985-875-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER CLINIC LLC",
        "enumeration_date": "2012-07-18",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "CARDWELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "504-842-7208"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Health Center Bogalusa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.