Individual provider Active NPI

Frederick S Risener Jr., M.D.

  • Family Medicine Physician
  • Houma, LA
National Provider Identifier
1467669887
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10130R Issued in LA
Practice address
1281 W Tunnel Blvd
Houma, LA 70360-2794
Phone
(985) 876-2321
Fax
(985) 917-0800
NPI assigned
May 16, 2007
Sex
Male
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
Family Medicine Physician 207Q00000X 10130R LA Primary

Addresses

Primary practice location

1281 W Tunnel Blvd
Houma, LA 70360-2794

Mailing address

1281 W Tunnel Blvd
Houma, LA 70360-2794
Phone (985) 876-2321

Other identifiers 1

IdentifierTypeStateIssuer
1979619MedicaidLA

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
I20031204001105 LA Practitioner - Family Practice 6305741059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Carolina School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 1, 2017 Accepting new patients
Imperial Health LLP Family Medicine Past Accepting new patients
Arunavathi T. Sangisetty, M.D., Apmc Past Accepting new patients
Lafourche Parish Hospital Service District No.1 Past Accepting new patients

Locations

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

27342 Juban Rd
Ste 102
Denham Springs, LA 70726
Phone (225) 388-6130

5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015

708 W Esplanade Ave
Kenner, LA 70065
Phone (504) 461-9660

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400

2735 Highway 190
Ste D
Mandeville, LA 70471
Phone (985) 778-2510

1625 Barataria Blvd
#A
Marrero, LA 70072
Phone (504) 309-5015

1849 Barataria Blvd
Ste B
Marrero, LA 70072
Phone (504) 309-5015

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853

111 Allen Toussaint Blvd
Ste C
New Orleans, LA 70124
Phone (504) 286-2001

1514 Jefferson Hwy
New Orleans, LA 70121

4100 Canal St
New Orleans, LA 70119
Phone (504) 703-2750

4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111

104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: frisener465037@direct.ochsner.org

Organizations & group practices 6

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467669887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602794",
            "telephone_number": "985-876-2321",
            "fax_number": "985-917-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602794",
            "telephone_number": "985-876-2321",
            "fax_number": "985-917-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISENER",
        "first_name": "FREDERICK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10130R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1979619",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.