Organization Active NPI

Louisiana State University School of Medicine in New Orleans Faculty G

  • Cardiovascular Disease Physician
  • Gretna, LA
National Provider Identifier
1508388299
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
Practice address
120 Ochsner Blvd Ste 340
Gretna, LA 70056-5249
Phone
(504) 412-1390
NPI assigned
Jul 13, 2017
Organization subpart
Yes
Parent organization
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY GAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Atara McAvoy
Title
Chief Financial Officer
Phone
(504) 412-1819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

120 Ochsner Blvd Ste 340
Gretna, LA 70056-5249

Mailing address

478 S Johnson St FL 6
New Orleans, LA 70112-2238

Other names 1

  • LSU Healthcare Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lsu Health Care Network7 organizations share this tax ID, including this one
Part of
Lsu Health Care Network

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 Ochsner Blvd
Ste 340
Gretna, LA 70056
Phone (504) 412-1390

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1508388299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 S JOHNSON ST FL 6",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OCHSNER BLVD STE 340",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700565249",
            "telephone_number": "504-412-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G",
        "enumeration_date": "2017-07-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "MCAVOY",
        "authorized_official_first_name": "ATARA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "504-412-1819"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSU Healthcare Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LSU Healthcare Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.