Executive Medicine, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EXECUTIVE MEDICINE, LLC

Practice address

701 Poydras St Ste 104
New Orleans, LA 70139-7761

Phone

(504) 309-4600

Fax

(504) 910-9200

NPI assigned

Oct 13, 2019

Last updated

Oct 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillip L Reed, MD

Title

Owner

Phone

(504) 309-4600

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25636/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Samire Almeida De Oliveira, MD

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1346848538
  NPD

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570924800000",
    "number": "1467094268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 POYDRAS ST STE 104",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701397761",
            "telephone_number": "504-309-4600",
            "fax_number": "504-910-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 POYDRAS ST STE 104",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701397761",
            "telephone_number": "504-309-4600",
            "fax_number": "504-910-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2019-10-13",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-309-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2019; 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.