Individual provider Active NPI

Geoffrey Gillen, M.D.

  • Obstetrics & Gynecology Physician
  • Gretna, LA
National Provider Identifier
1487717864
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
202143 Issued in LA
Practice address
515 Westbank Expy
Gretna, LA 70053-5644
Phone
(504) 366-7233
Fax
(504) 362-5529
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TRN7866 FL
Obstetrics & Gynecology Physician 207V00000X 202143 LA Primary

Addresses

Primary practice location

515 Westbank Expy
Gretna, LA 70053-5644

Mailing address

515 Westbank Expy
Gretna, LA 70053-5644
Phone (504) 366-7233

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
I20081224000103 LA Practitioner - Obstetrics/Gynecology 4789746843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360

515 Westbank Expy
Gretna, LA 70053-5644
Phone (504) 366-7233

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN7866FLMDObstetrics & Gynecology Physician
202143LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc CurrentSince Oct 1, 2019 Accepting new patients
Lsuhn Billing LLC CurrentSince Dec 1, 2008 Accepting new patients
Lsuhn Billing LLC CurrentSince Dec 1, 2008 Accepting new patients
West Jefferson Holdings, LLC Past Accepting new patients
Newco, Women'S Medical Center Obstetrics & Gynecology PastSince Jul 25, 2005 Accepting new patients
Woman'S Hospital Foundation Past Accepting new patients

Locations

500 Rue de la Vie St
Ste 413
Baton Rouge, LA 70817
Phone (225) 215-7442

500 Rue de la Vie St
Ste 414
Baton Rouge, LA 70817
Phone (225) 215-7960

515 Westbank Expy
Ste 7
Gretna, LA 70053
Phone (504) 366-7233

515 Westbank Expy
Gretna, LA 70053
Phone (504) 366-7233

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1487717864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535644",
            "telephone_number": "504-366-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WESTBANK EXPY",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700535644",
            "telephone_number": "504-366-7233",
            "fax_number": "504-362-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLEN",
        "first_name": "GEOFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN7866",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "202143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.