NPIMap

Organization Active NPI

Ochsner 65 Plus HH Okatie Crossing

  • Internal Medicine Physician
  • Ridgeland, SC
National Provider Identifier
1497455232
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCHSNER 65 PLUS HH OKATIE CROSSING
Practice address
50 Terrace Dr
Ridgeland, SC 29936
Phone
(843) 547-4765
Fax
(843) 547-4766
NPI assigned
Mar 9, 2023
Organization subpart
Yes
Parent organization
OCHSNER CLINIC FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Thomas J Duncan
Title
Ceo
Phone
(850) 558-4665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

50 Terrace Dr
Ridgeland, SC 29936

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Other names 1

  • Ochsner 65 Plus- Okatie Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231031003883 SC Part B Supplier - Clinic/Group Practice 5294181939 Receives reassigned benefits from 11 practitioners
Practice locations: Ridgeland, SC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

50 Terrace Dr
Ridgeland, SC 29936
Phone (843) 547-4765

Practitioners 11

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

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
42D2287001Ochsner 65 Plus - Okatie50 Terrace Drive, Ridgeland, SC 29936Certificate of waiverAug 7, 2027

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1497455232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TERRACE DR",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-547-4765",
            "fax_number": "843-547-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER 65 PLUS HH OKATIE CROSSING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER CLINIC FOUNDATION",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-558-4665"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner 65 Plus- Okatie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochsner 65 Plus- Okatie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.