Active NPI
Edward Joseph Lirette, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Slidell, LA
National Provider Identifier
1497861827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 23751
- Practice address
- 1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939 - Phone
- (985) 649-8542
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 23751 | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Emergency Room
Slidell, LA 70458-2939
Mailing address
1612 Demosthenes St
Metairie, LA 70005
Phone (504) 250-1658
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346365 | Medicaid | LA | |
| F8683 | Other | LA | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023751 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Louisiana PC | Emergency Medicine | Current | Accepting new patients |
| Vincent Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| ER Professional Fee Billing C/O Slidell Memorial Hospital | Emergency Medical Services | Past | Accepting new patients |
| Van Meter MD & Associates | Past | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
-
- Internal Medicine Physician
- Slidell, LA
- NPI 1548959679
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
-
- Emergency Medical Services (Emergency Medicine) Physician
- Universal City, TX
- NPI 1700815867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1497861827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 DEMOSTHENES ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "70005",
"telephone_number": "504-250-1658",
"fax_number": "210-614-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"address_2": "EMERGENCY ROOM",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-649-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRETTE",
"first_name": "EDWARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "LA",
"license": "23751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346365",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "F8683",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.