NPIMap

Organization Active NPI

Raul Llanos, MD PMC

  • Gynecology Physician
  • Metairie, LA
National Provider Identifier
1477823144
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
13578 Issued in LA
Legal business name
RAUL LLANOS, MD PMC
Practice address
3749 N Causeway Blvd
Suite C
Metairie, LA 70002-1740
Phone
(504) 834-1050
Fax
(504) 828-0570
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Raul Llanos, MDNPI 1497716419
Title
President
Phone
(504) 834-1050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 13578 LA Primary

Addresses

Primary practice location

3749 N Causeway Blvd
Suite C
Metairie, LA 70002-1740

Mailing address

3749 N Causeway Blvd
Suite C
Metairie, LA 70002-1740
Phone (504) 834-1050

Other identifiers 1

IdentifierTypeStateIssuer
1168335MedicaidLA

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
19D2003416Raul Llanos, MD, PMC3749 North Causeway Boulevard, Suite C, Metairie, LA 70002Provider-performed microscopyFeb 8, 2028

National Provider Directory

National Provider Directory

Locations

3749 N Causeway Blvd
Ste C
Metairie, LA 70002
Phone (504) 834-1050

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1477823144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 N CAUSEWAY BLVD",
            "address_2": "SUITE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021740",
            "telephone_number": "504-834-1050",
            "fax_number": "504-828-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 N CAUSEWAY BLVD",
            "address_2": "SUITE C",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021740",
            "telephone_number": "504-834-1050",
            "fax_number": "504-828-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL LLANOS, MD PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "LLANOS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-834-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "13578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1168335",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.