Metairie General Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

09213R Issued in LA

Legal business name

METAIRIE GENERAL SURGERY LLC

Practice address

4228 Houma Blvd
Suite 220
Metairie, LA 70006-3006

Phone

(504) 264-9353

Fax

(504) 301-9312

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Brian C Creely, MDNPI 1386748895

Title

MD/Owner

Phone

(504) 264-9353

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Christopher Creely, M.D.

  • Surgery Physician
  • Metairie, LA
  • NPI 1386748895
  Medicare reassignment NPD Authorized official
• Kelsey Lee Alabaster, M.D.

  • Surgery Physician
  • Metairie, LA
  • NPI 1154854347

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1477852606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063006",
            "telephone_number": "504-264-9353",
            "fax_number": "504-301-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063006",
            "telephone_number": "504-264-9353",
            "fax_number": "504-301-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAIRIE GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "CREELY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "504-264-9353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "09213R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Metairie Health Partners
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• Surgery Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.