NPIMap

Organization Active NPI

West Jefferson Physician Services

Doing business as Family Doctors

  • Pediatrics Physician
  • Gretna, LA
National Provider Identifier
1457426439
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST JEFFERSON PHYSICIAN SERVICES
Doing business as
Family Doctors
Practice address
175 Hector Ave
Gretna, LA 70056-2590
Phone
(504) 349-6925
Fax
(504) 361-5310
NPI assigned
Nov 22, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Heidi A Gwinn
Title
Credentialing Coordinator
Phone
(504) 349-1297

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

175 Hector Ave
Gretna, LA 70056-2590

Mailing address

175 Hector Ave
Gretna, LA 70056-2590
Phone (504) 349-6925

Other identifiers 1

IdentifierTypeStateIssuer
1942545MedicaidLA

Other names 1

  • Family Doctors Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0457577Family Doctors Oakwood, the175 Hector Avenue, Gretna, LA 70056Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Family Doctors7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

175 Hector Ave
Terrytown, LA 70056
Phone (504) 349-6925

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457426439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 HECTOR AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562590",
            "telephone_number": "504-349-6925",
            "fax_number": "504-361-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HECTOR AVE",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562590",
            "telephone_number": "504-349-6925",
            "fax_number": "504-361-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GWINN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "504-349-1297"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942545",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.