NPIMap

Organization Active NPI

LCMC Health Clinical Services, LLC

  • Obstetrics & Gynecology Physician
  • New Orleans, LA
National Provider Identifier
1417446501
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LCMC HEALTH CLINICAL SERVICES, LLC
Practice address
200 Henry Clay Avenue
New Orleans, LA 70118-5720
Phone
(504) 896-3042
Fax
(504) 896-3088
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LCMC HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Suzanne Haggard
Title
Chief Financial Officer
Phone
(504) 896-3042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

200 Henry Clay Avenue
New Orleans, LA 70118-5720

Mailing address

200 Henry Clay Avenue
New Orleans, LA 70118-5720
Phone (504) 896-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140507000416 LA Part A Provider - Hospital 3971770447 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Orleans, LA
O20180906000155 LA Part B Supplier - Clinic/Group Practice 3274883681 Receives reassigned benefits from 22 practitioners
Practice locations: New Orleans, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417446501. Details of each certification follow.

Hospital certification: CCN 190313

Legal name
PARISH HOSPITAL SERVICE DISTRICT FOR THE PARISH OF ORLEANS - DIST A
Doing business as
NEW ORLEANS EAST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Aug 18, 2014
Last certification
Jun 15, 2023
Beds
50
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
5620 Read Blvd
New Orleans East Hospital
New Orleans, LA 70127-3106
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
New Orleans East HospitalCCN 190313 · All quality measures
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

5620 Read Blvd
#600
New Orleans, LA 70127

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Emmett Bernard Chapital Individual Other Jul 1, 2011
Takeisha Davis Individual Corporate Officer Jan 11, 2016
Lument Real Estate Capital LLC Organization, Columbus, OH Created for acquisition, For-profit 5% Or Greater Mortgage Interest Feb 15, 2014 100%
Jennifer L Avegno Individual Other Jun 21, 2018
Keith C Ferdinand Individual Other Jul 12, 2011
Samuel Odom Individual Corporate Director Apr 13, 2023
Kimberly McNeil Individual Other Dec 13, 2013
Tenesha Stevens Individual Corporate Director Apr 13, 2023
Eldridge Morris Individual Corporate Director Apr 13, 2023
Lynette S Causey Individual Other Feb 6, 2012
Myra a Kleinpeter Individual OtherSecretary Jul 6, 2011
Diana E Bajoie Individual Other Jul 8, 2011
Christine M Bond Individual W-2 Managing Employee Apr 11, 1975
Operational/Managerial ControlCfo Apr 11, 1975
Ronald Burns Individual Corporate DirectorBoard Chairman Jan 15, 2014
Ann D Duplessis Individual Other Sep 19, 2013

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

Affiliated clinicians 102

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1417446501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-3055",
            "fax_number": "504-896-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185720",
            "telephone_number": "504-896-3042",
            "fax_number": "504-896-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCMC HEALTH CLINICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LCMC HEALTH, INC.",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "HAGGARD",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "504-896-3042"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.