NPIMap

Organization Active NPI

Jefferson Radiation Oncology, LLC

  • Radiation Oncology Physician
  • Metairie, LA
National Provider Identifier
1619927910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
JEFFERSON RADIATION ONCOLOGY, LLC
Practice address
4204 Houma Blvd
Metairie, LA 70006-2903
Phone
(504) 454-1724
Fax
(504) 455-4857
NPI assigned
May 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul David Monsour, M.D.NPI 1184691271
Title
Owner
Phone
(504) 454-1727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

4204 Houma Blvd
Metairie, LA 70006-2903

Mailing address

4204 Houma Blvd
Suite 211
Metairie, LA 70006-2903
Phone (504) 454-1727

Other identifiers 1

IdentifierTypeStateIssuer
1448133MedicaidLA

National Provider Directory

National Provider Directory

Locations

3800 Houma Blvd
Ste 240
Metairie, LA 70006

4204 Houma Blvd
Ste 211
Metairie, LA 70006
Phone (504) 454-1724

3300 Tillman Dr
Ste G5
Bensalem, PA 19020

2301 S Broad St
Fl 2
Philadelphia, PA 19148
Phone (215) 952-9148

3998 Red Lion Rd
Lowr
Philadelphia, PA 19114

Practitioners & affiliated clinicians

Practitioners 926

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.

View all 926

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619927910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 HOUMA BLVD",
            "address_2": "SUITE 211",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062903",
            "telephone_number": "504-454-1727",
            "fax_number": "504-455-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062903",
            "telephone_number": "504-454-1724",
            "fax_number": "504-455-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON RADIATION ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONSOUR",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-454-1727",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448133",
            "state": "LA"
        }
    ],
    "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 Aug 22, 2020; 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.