Organization Active NPI

Ochsner Clinic, LLC

Doing business as Ochsner St. Mary Specialty Clinic

  • Internal Medicine Physician
  • Morgan City, LA
National Provider Identifier
1427620384
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCHSNER CLINIC, LLC
Doing business as
Ochsner St. Mary Specialty Clinic
Practice address
1302 Lakewood Dr Ste 102
Morgan City, LA 70380-1886
Phone
(985) 380-2200
NPI assigned
Jul 12, 2021
Last updated
Jul 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
OCHSNER CLINIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Eduardo Benitez
Title
Director
Phone
(504) 430-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1302 Lakewood Dr Ste 102
Morgan City, LA 70380-1886

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other names 1

  • Ochsner St. Mary Specialty Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ochsner Clinic Houma Bayou222 organizations share this tax ID, including this one
Part of
Ochsner Clinic Houma Bayou

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

1302 Lakewood Dr
Morgan City, LA 70380
Phone (337) 352-2210

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1427620384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LAKEWOOD DR STE 102",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801886",
            "telephone_number": "985-380-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER CLINIC, LLC",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-430-0025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner St. Mary Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.