Organization Active NPI

Medical Center of Gentilly

  • Primary Care Clinic/Center
  • New Orleans, LA
National Provider Identifier
1508163411
Registry record updated Feb 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
017776 Issued in LA
Legal business name
MEDICAL CENTER OF GENTILLY
Practice address
7901 Downman Rd
New Orleans, LA 70126-1200
Phone
(504) 244-1991
Fax
(504) 244-1984
NPI assigned
Feb 13, 2011
Last updated
Feb 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2011

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

Authorized official

Name
Dr. Wanda Gail Timpton, M.D.NPI 1033276456
Title
Ceo
Phone
(504) 244-1991

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
Primary Care Clinic/Center 261QP2300X 017776 LA Primary

Addresses

Primary practice location

7901 Downman Rd
New Orleans, LA 70126-1200

Mailing address

5824 Hayne Blvd
New Orleans, LA 70126-1344
Phone (504) 244-1991

Other identifiers 1

IdentifierTypeStateIssuer
1357561MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000991 LA Part B Supplier - Clinic/Group Practice 0042491573 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

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
19D2011913Medical Center of Gentilly7901 Downman Road, New Orleans, LA 70126Provider-performed microscopyAug 23, 2026

National Provider Directory

National Provider Directory

Locations

7901 Downman Rd
New Orleans, LA 70126
Phone (504) 244-1991

7901 Downman Rd
Ste A
New Orleans, LA 70126
Phone (504) 244-1991

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": "1297555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297555200000",
    "number": "1508163411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 HAYNE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261344",
            "telephone_number": "504-244-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DOWNMAN RD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701261200",
            "telephone_number": "504-244-1991",
            "fax_number": "504-244-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF GENTILLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-13",
        "last_updated": "2011-02-13",
        "status": "A",
        "authorized_official_last_name": "TIMPTON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-244-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "017776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1357561",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; 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.