Individual provider Active NPI

Marlene Juarez, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • New Orleans, LA
National Provider Identifier
1457460958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
023714 Issued in LA
Practice address
200 Henry Clay Avenue
New Orleans, LA 70118
Phone
(504) 896-9474
Fax
(504) 896-9700
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 023714 LA Primary

Addresses

Primary practice location

200 Henry Clay Avenue
New Orleans, LA 70118

Mailing address

200 Henry Clay Avenue
New Orleans, LA 70118
Phone (504) 896-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000825 LA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 0042493181 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023714LAMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Urgent Care, LLC CurrentSince Oct 15, 2021 Accepting new patients
WJH Physician Services CurrentSince Sep 25, 2021 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Oct 1, 2019 Accepting new patients
Childrens Hospital Medical Practice Corporation CurrentSince Jan 22, 2022 Accepting new patients
Independence Emergency Group LLC CurrentSince Apr 20, 2015 Accepting new patients
Children'S Hospital CurrentSince Jan 24, 2011 Accepting new patients
Children'S Hospital Pediatric Emergency Medicine CurrentSince Jan 24, 2011 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3663 Highway 190
Ste 10
Mandeville, LA 70471
Phone (985) 272-1396

3663 Highway 190
Ste 100
Mandeville, LA 70471
Phone (985) 272-1396

1111 Medical Center Blvd
Ste S250
Marrero, LA 70072
Phone (504) 347-5511

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457460958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-896-9474",
            "fax_number": "504-896-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HENRY CLAY AVENUE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70118",
            "telephone_number": "504-896-9474",
            "fax_number": "504-896-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "MARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "LA",
            "license": "023714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.