Individual provider Active NPI

John V Garoutte IV, M.D.

  • Orthopaedic Surgery Physician
  • Metairie, LA
National Provider Identifier
1457369530
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
010099 Issued in LA
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

Updated by the provider on Mar 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
86577OtherCOVENTRY
1185264MedicaidLA

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

LicenseStateTypeSpecialty
010099LAMDOrthopaedic 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.

Verify at the official NPI Registry.