NPIMap

Organization Active NPI

Ochsner Clinic LLC

Doing business as Ochsner McComb Arrhythmia

  • General Practice Physician
  • McComb, MS
National Provider Identifier
1437600335
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OCHSNER CLINIC LLC
Doing business as
Ochsner McComb Arrhythmia
Practice address
303 Marion Ave
McComb, MS 39648-2707
Phone
(504) 842-4145
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OCHSNER CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Katherine Cardwell
Title
Avp
Phone
(504) 842-7208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

303 Marion Ave
McComb, MS 39648-2707

Mailing address

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

Other names 1

  • Ochsner McComb Arrhythmia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000940 MS Part B Supplier - Clinic/Group Practice 8224933619 Receives reassigned benefits from 14 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bay Saint Louis, MS; Biloxi, MS; Flowood, MS; Gulfport, MS; McComb, MS

Other NPIs on the same Medicare enrollment 7

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

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 6

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

Practitioners & affiliated clinicians

Practitioners 7

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": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1437600335",
    "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": "303 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482707",
            "telephone_number": "504-842-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER CLINIC LLC",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "CARDWELL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "504-842-7208"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner McComb Arrhythmia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.