Individual provider Active NPI

John Firestone, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1386648830
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
015657 Issued in LA
Practice address
3040 33Rd St
Metairie, LA 70001-2036
Phone
(504) 837-7760
Fax
(504) 837-7754
NPI assigned
Jun 10, 2005
Last updated
Oct 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 015657 LA
Pediatrics Physician 208000000X 015657 LA Primary

Addresses

Primary practice location

3040 33Rd St
Metairie, LA 70001-2036

Mailing address

298 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9827

Other identifiers 1

IdentifierTypeStateIssuer
1368458MedicaidLA

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
I20110201000068 LA Practitioner - Pediatric MedicinePractitioner - Allergy/Immunology 0547449985 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015657LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Feb 25, 2020 Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

829 Barataria Blvd
Marrero, LA 70072
Phone (504) 368-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

298 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 896-9827

298 Henry Clay Ave
#231
New Orleans, LA 70118

298 Henry Clay Ave
Ste 231
New Orleans, LA 70118

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

9605 Jefferson Hwy
Ste E
River Ridge, LA 70123
Phone (504) 738-1600

3020 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-3033

Organizations & group practices 1

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1386648830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 HENRY CLAY AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-9827",
            "fax_number": "504-894-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 33RD ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012036",
            "telephone_number": "504-837-7760",
            "fax_number": "504-837-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "015657",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "015657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368458",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.