Organization Active NPI

Lakeside Womens Services LLC

  • Obstetrics & Gynecology Physician
  • Metairie, LA
National Provider Identifier
1518146497
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
LAKESIDE WOMENS SERVICES LLC
Practice address
4700 S I 10 Service Rd W
Suite 205
Metairie, LA 70001-1269
Phone
(504) 988-6872
Fax
(504) 988-6288
NPI assigned
Oct 29, 2007
Last updated
May 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY HEALTHCARE SYSTEM LCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mr. Robert Lagesse
Title
Vice President
Phone
(504) 988-7535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

4700 S I 10 Service Rd W
Suite 205
Metairie, LA 70001-1269

Mailing address

1415 Tulane Ave
HC71
New Orleans, LA 70112-2600
Phone (504) 988-7535

Other identifiers 2

IdentifierTypeStateIssuer
DG8660OtherLARAILROAD MEDICARE
06307864MedicaidMS

National Provider Directory

National Provider Directory
Part of
Thiravat Choojitarom

Member of 1

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

Locations

4700 S I 10 Service Rd W
Ste 205
Metairie, LA 70001
Phone (504) 779-8282

4720 S I 10 Svc Rd W
Ste 205
Metairie, LA 70001
Phone (504) 779-8282

5951 Bullard Ave
Ste 8
New Orleans, LA 70128
Phone (504) 241-4040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1518146497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE",
            "address_2": "HC71",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "504-988-7535",
            "fax_number": "504-988-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S I 10 SERVICE RD W",
            "address_2": "SUITE 205",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011269",
            "telephone_number": "504-988-6872",
            "fax_number": "504-988-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE WOMENS SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY HEALTHCARE SYSTEM LC",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "LAGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "504-988-7535",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG8660",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06307864",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.