NPIMap

Organization Active NPI

Lindsay York Fantaci, M.D., LLC

  • Pediatrics Physician
  • Marrero, LA
National Provider Identifier
1396038741
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
026391 Issued in LA
Legal business name
LINDSAY YORK FANTACI, M.D., LLC
Doing business as
Lindsay York, M.D.
Practice address
1111 Medical Center Blvd
Suite N803
Marrero, LA 70072-3151
Phone
(504) 934-8333
Fax
(504) 934-8334
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Authorized official

Name
Dr. Lindsay York Fantaci, M.D.NPI 1225110406
Title
Member
Phone
(504) 934-8333

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 026391 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite N803
Marrero, LA 70072-3151

Mailing address

1111 Medical Center Blvd
Suite N803
Marrero, LA 70072-3151
Phone (504) 934-8333

Other identifiers 1

IdentifierTypeStateIssuer
1060810MedicaidLA

Other names 1

  • Lindsay York, M.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1111 Medical Center Blvd
Ste N803
Marrero, LA 70072
Phone (504) 934-8333

Practitioners & affiliated clinicians

Practitioners 1

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": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1396038741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N803",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-934-8333",
            "fax_number": "504-934-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N803",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-934-8333",
            "fax_number": "504-934-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY YORK FANTACI, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "FANTACI",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "YORK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "504-934-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "026391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060810",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindsay York, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.