Active NPI
John V Garoutte IV, M.D.
- Orthopaedic Surgery Physician
- Metairie, LA
National Provider Identifier
1457369530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 010099
- Practice address
- 3939 Houma Blvd
Suite 21
Metairie, LA 70006-2921 - Phone
- (504) 885-6464
- Fax
- (504) 885-6414
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 010099 | LA | Primary |
Addresses
Primary practice location
3939 Houma Blvd
Suite 21
Metairie, LA 70006-2921
Mailing address
3939 Houma Blvd
Suite 21
Metairie, LA 70006-2921
Phone (504) 885-6464
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86577 | Other | COVENTRY | |
| 1185264 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010099 | LA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206403200000",
"number": "1457369530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD",
"address_2": "SUITE 21",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062921",
"telephone_number": "504-885-6464",
"fax_number": "504-885-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 HOUMA BLVD",
"address_2": "SUITE 21",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062921",
"telephone_number": "504-885-6464",
"fax_number": "504-885-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAROUTTE",
"first_name": "JOHN",
"middle_name": "V",
"name_suffix": "IV",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2008-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "010099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "86577",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1185264",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.