Louisiana State University School of Medicine in New Orleans Faculty G
Organization Active NPI Multi-Specialty Clinic/Center · New Orleans, LA
NPI 1477582526 · NPPES record last updated Dec 4, 2024
Key facts
- NPI
- 1477582526
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
- Practice address
- 478 S Johnson St FL 6
New Orleans, LA 70112-2238 - Phone
- (504) 412-1819
- Fax
- (504) 412-1954
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Atara McAvoy
- Title
- Chief Financial Officer
- Phone
- (504) 412-1819
Other NPIs on the same Medicare enrollment 2
Member of 1
Practitioners 1,176
-
Elise M Abadie, CRNA
-
Amma Agyemang, M.D., PH.D
-
John Edward Aiken I, CRNA
-
Lobna Hussain Ali, M.D.
-
Murtuza J Ali, M.D.
-
Jessica Allemand, LOTR
-
Deborah Allsbrook, LPC-S
-
Leah Claire Antin, CRNP
-
Dani Smith Archie, PHD PSYCHOLOGIST
-
Zachary Arnett, DO
-
Katherine Atiyeh, DPT
-
Eric D Babineaux, DNP, FNP-BC, AAHIVS
-
Kelly Lynn Babineaux, M.D.
-
Jennifer Eileen Badeaux, CRNA
-
Nahida Baigam, MD
-
Rahn Kennedy Bailey, M. D.
-
Brian Barbara, DO
-
Bruce A. Barron, M.D.
-
Matthew Bartow, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031209000661 | LA | Part B Supplier - Clinic/Group Practice | 0244136448 |
Receives reassigned benefits from 923 practitioners 2 other NPIs on this enrollment |
| O20040323001863 | LA | Part B Supplier - Clinic/Group Practice | 0244136448 |
Receives reassigned benefits from 24 practitioners Practice locations: Bogalusa, LA; Baton Rouge, LA; Cut Off, LA; Franklinton, LA; Gonzales, LA; Houma, LA; New Orleans, LA; Pineville, LA… |
National Provider Directory
Locations (25 of 87)
7777 Hennessy Blvd
Ste 409
Baton Rouge, LA 70808
Phone (225) 765-1765
6400 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 330-0497
712 Willis Ave
Ste 2
Bogalusa, LA 70427
433 Plaza St
Ste 213
Bogalusa, LA 70427
Phone (985) 730-7209
9049 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 271-3409
615 E Ascension St
Gonzales, LA 70737
Phone (225) 621-1200
3201 Wall Blvd
Ste B
Gretna, LA 70056
Phone (504) 400-6455
200 W Esplanade Ave
Ste 200
Kenner, LA 70065
Phone (504) 464-8500
200 W Esplanade Ave
#206
Kenner, LA 70065
671 W Esplanade Ave
Kenner, LA 70065
Phone (504) 412-1700
200 W Esplanade Ave
Ste 409
Kenner, LA 70065
Phone (504) 466-3939
200 W Esplanade Ave
Ste 701
Kenner, LA 70065
Phone (504) 464-8738
200 W Esplanade Ave
Ste 500
Kenner, LA 70065
Phone (504) 412-1700
502 Rue de Sante
Ste 102
La Place, LA 70068
301 Rue de Sante
La Place, LA 70068
Phone (985) 652-2441
64040 Highway 434
Ste 200
Lacombe, LA 70445
Phone (985) 892-9233
1645 Lutcher Ave
Ste 1400
Lutcher, LA 70071
1111 Medical Center Blvd
Ste S650
Marrero, LA 70072
Phone (504) 349-6504
1111 Medical Center Blvd
Ste 650
Marrero, LA 70072
Phone (504) 934-8100
1111 Medical Center Blvd
Ste 640
Marrero, LA 70072
4513 Westbank Expy
Marrero, LA 70072
Phone (504) 349-6360
4500 10th St
Marrero, LA 70072
Phone (504) 347-0243
4228 Houma Blvd
Fl 6
Metairie, LA 70006
3601 Houma Blvd
Ste 600A
Metairie, LA 70006
4228 Houma Blvd
Ste 600A
Metairie, LA 70006
Phone (504) 412-1600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
478 S Johnson St FL 6
New Orleans, LA 70112-2238
Mailing address
478 S Johnson St FL 6
New Orleans, LA 70112-2238
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09014817 | Medicaid | MS | |
| 1945846 | Medicaid | LA |
Other names
- LSU Healthcare Network
Other providers in New Orleans, LA
- Louisiana State University
- Louisiana State University School of Med in New Orleans Faculty Grou
- Louisiana State University School of Medicine in New Orleans Faculty
- Louisiana State University School of Medicine in New Orleans Faculty G
- Louisiana State University School of Medicine in New Orleans Faculty G
- Louisiana State University School of Medicine in New Orleans Faculty G
- Louisiana State University School of Medicine in New Orleans Faculty G
- Louisiana Support Services
- Louisiana Vision Supplies, L.L.C.
- Louisiana Youth Enhanced Services
All providers in New Orleans, LA · Multi-Specialty Clinic/Center in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.