Organization Active NPI

Mga Gastrointestinal Diagnostic & Therapeutic Center

  • Endoscopy Clinic/Center
  • New Orleans, LA
National Provider Identifier
1578744470
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
Legal business name
MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER
Doing business as
MGA Gastrointestinal Diagnostic & Therapeutic Center
Practice address
2633 Napoleon Ave
Suite 707
New Orleans, LA 70115-6357
Phone
(504) 896-8680
Fax
(504) 896-8699
NPI assigned
Nov 19, 2007
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Mr. Christopher A Holden
Title
Chief Manager of LLC
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X LA Primary

Addresses

Primary practice location

2633 Napoleon Ave
Suite 707
New Orleans, LA 70115-6357

Mailing address

PO Box 1187
Marrero, LA 70073-1187
Phone (504) 896-8680

Other identifiers 1

IdentifierTypeStateIssuer
1966339MedicaidLA

Other names 1

  • MGA Gastrointestinal Diagnostic & Therapeutic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mgagi Diagnostic Ther2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2633 Napoleon Ave
Ste 707
New Orleans, LA 70115
Phone (504) 299-9980

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1578744470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700731187",
            "telephone_number": "504-896-8680",
            "fax_number": "504-896-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 NAPOLEON AVE",
            "address_2": "SUITE 707",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701156357",
            "telephone_number": "504-896-8680",
            "fax_number": "504-896-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1966339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGA Gastrointestinal Diagnostic & Therapeutic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2007; 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.