Individual provider Active NPI

Luann D Ochsner, MD

  • Pediatrics Physician
  • Fallon, NV
National Provider Identifier
1407163074
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18390 Issued in NV
Practice address
801 E Williams Ave # 2208
Fallon, NV 89406-3052
Phone
(775) 867-7740
Fax
(775) 867-3611
NPI assigned
Sep 2, 2010
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TEP 6232 NE
Pediatrics Physician 208000000X 21878 MT
Pediatrics Physician 208000000X 18390 NV Primary

Addresses

Primary practice location

801 E Williams Ave # 2208
Fallon, NV 89406-3052

Mailing address

801 E Williams Ave # 2208
Fallon, NV 89406-3052
Phone (775) 867-7740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20190208001074 NV Practitioner - Pediatric Medicine 6305089772 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21878MTMDPediatrics Physician
TEP 6232NEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC Multi-Specialty CurrentSince Dec 1, 2018 Accepting new patients
Banner Churchill Community Hospital Multi-Specialty CurrentSince Feb 3, 2019 Accepting new patients
Banner Health Physicians West LLC Multi-Specialty CurrentSince Dec 1, 2018 Accepting new patients
Banner Churchill Community Hospital Past Accepting new patients
Community Care Services LLC Multi-Specialty PastSince Oct 11, 2020 Accepting new patients
St James Healthcare Multi-Specialty Past Accepting new patients

Locations

801 E Williams Ave
Fallon, NV 89406
Phone (775) 423-0310

801 E Williams Ave
#2208
Fallon, NV 89406
Phone (775) 867-7740

Organizations & group practices 6

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": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1407163074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE # 2208",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-867-7740",
            "fax_number": "775-867-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE # 2208",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "775-867-7740",
            "fax_number": "775-867-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHSNER",
        "first_name": "LUANN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "TEP 6232",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "21878",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "18390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

Verify at the official NPI Registry.