NPIMap

Organization Active NPI

Pontchartrain Bone & Joint Clinic, LTD.

  • Orthopaedic Surgery Physician
  • Metairie, LA
National Provider Identifier
1649351529
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
013824 Issued in LA
Legal business name
PONTCHARTRAIN BONE & JOINT CLINIC, LTD.
Practice address
3939 Houma Blvd
Suite 21
Metairie, LA 70006-2931
Phone
(504) 885-6464
Fax
(504) 885-6414
NPI assigned
Oct 18, 2006
Last updated
Nov 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Dr. Jeffrey J Sketchler, M.D.NPI 1881602068
Title
President
Phone
(504) 885-6464

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
Orthopaedic Surgery Physician 207X00000X 013824 LA Primary

Addresses

Primary practice location

3939 Houma Blvd
Suite 21
Metairie, LA 70006-2931

Mailing address

3939 Houma Blvd
Suite 21
Metairie, LA 70006-2931
Phone (504) 885-6464

Other identifiers 2

IdentifierTypeStateIssuer
02170OtherBLUE CROSS BLUE SHIELD
1796701MedicaidLA

Other names 1

  • Pontchartrain Bone & Joint Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050610000008 LA Part B Supplier - Clinic/Group Practice 8426091497 Receives reassigned benefits from 19 practitioners
Practice locations: Boutte, LA; Metairie, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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 19

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1649351529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-885-6464",
            "fax_number": "504-885-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "SUITE 21",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-885-6464",
            "fax_number": "504-885-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTCHARTRAIN BONE & JOINT CLINIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "SKETCHLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-885-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "013824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02170",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pontchartrain Bone & Joint Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.