NPIMap

Organization Active NPI

Leblanc Pediatrics LLC

  • Pediatrics Physician
  • Mandeville, LA
National Provider Identifier
1386928042
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4945 Issued in LA
Legal business name
LEBLANC PEDIATRICS LLC
Practice address
1100 N Causeway Blvd
Suite 104
Mandeville, LA 70471-3209
Phone
(985) 674-2227
Fax
(985) 674-1227
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Joshua Leblanc, MDNPI 1407868987
Title
Ceo
Phone
(985) 674-2227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4945 LA Primary

Addresses

Primary practice location

1100 N Causeway Blvd
Suite 104
Mandeville, LA 70471-3209

Mailing address

1100 N Causeway Blvd
Suite 104
Mandeville, LA 70471-3209
Phone (985) 674-2227

Other identifiers 2

IdentifierTypeStateIssuer
1712523MedicaidLA
1116734MedicaidLA

National Provider Directory

National Provider Directory

Locations

16013 Doctors Blvd
Hammond, LA 70403
Phone (985) 674-2227

1305 W Causeway Approach
Ste 209
Mandeville, LA 70471
Phone (985) 626-6996

Practitioners & affiliated clinicians

Practitioners 11

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1386928042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N CAUSEWAY BLVD",
            "address_2": "SUITE 104",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713209",
            "telephone_number": "985-674-2227",
            "fax_number": "985-674-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N CAUSEWAY BLVD",
            "address_2": "SUITE 104",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713209",
            "telephone_number": "985-674-2227",
            "fax_number": "985-674-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBLANC PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-674-2227",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "4945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712523",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116734",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.