Lsu Medical Center Clinics

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LSU MEDICAL CENTER CLINICS

Practice address

1900 Gravier St
Room 6B21
New Orleans, LA 70112-2262

Phone

(504) 568-4250

Fax

(504) 568-4249

NPI assigned

Feb 4, 2008

Last updated

May 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth G Levitzky

Title

Assistant to the Dean

Phone

(504) 568-4250

Specialties & licenses 1

Addresses

Tax ID family

Lsu Medical Center Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lsu Medical Center Clinics

  • Rehabilitation Clinic/Center
  • New Orleans, LA
  • NPI 1831366459
  NPD tax ID

Locations

Practitioners 1

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.

• Susan Pancamo

  • Speech-Language Pathologist
  • New Orleans, LA
  • NPI 1013197599
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1417135237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 GRAVIER ST",
            "address_2": "ROOM 6B21",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122262",
            "telephone_number": "504-568-4250",
            "fax_number": "504-568-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GRAVIER ST",
            "address_2": "ROOM 6B21",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122262",
            "telephone_number": "504-568-4250",
            "fax_number": "504-568-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSU MEDICAL CENTER CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "LEVITZKY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ASSISTANT TO THE DEAN",
        "authorized_official_telephone_number": "504-568-4250"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lsu Healthcare Network
• Lsu Healthcare Network
• Lsu Healthcare Network Eye Center
• Lsu HSC
• Lsu Medical Center
• Lsu Medical Center Clinics
• Lsu-HSC
• Lsu/Ochsner Residency Program
• Lsuhsc
• Lsuhsc Medicine

• Developmental Disabilities Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Developmental Disabilities Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.