Active NPI
Dr Douglas Mehaffie MD LLC
- Urgent Care Clinic/Center
- Gretna, LA
National Provider Identifier
1669409199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- DR DOUGLAS MEHAFFIE MD LLC
- Practice address
- 148 Wall Blvd
Gretna, LA 70056-7107 - Phone
- (504) 393-2775
- Fax
- (504) 393-2744
- NPI assigned
- Jun 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Mehaffie, MD
- Title
- Owner
- Phone
- (504) 393-2775
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
148 Wall Blvd
Gretna, LA 70056-7107
Mailing address
148 Wall Blvd
Gretna, LA 70056-7107
Phone (504) 393-2775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669409199 | Other | LA | COMMERCIAL INSURANCE |
| 1447331 | Medicaid | LA |
Other names 2
- THE URGENT CARE
- Westbank Urgent Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | theurgentcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100625000363 | LA | Part B Supplier - Clinic/Group Practice | 7012048697 |
Receives reassigned benefits from 22 practitioners Practice locations: New Orleans, LA; Harvey, LA; Laplace, LA; Gretna, LA |
National Provider Directory
National Provider DirectoryLocations
148 Wall Blvd
Gretna, LA 70056
Phone (504) 393-2273
4001 Lapalco Blvd
Harvey, LA 70058
Phone (504) 340-2004
819 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 475-9990
113 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-2273
309 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-2273
1706 Cannes Dr
La Place, LA 70068
Phone (985) 359-2273
4907 Prytania St
New Orleans, LA 70115
Phone (504) 229-0599
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- New Orleans, LA
- NPI 1932723103
Family Medicine, LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672099200000",
"number": "1669409199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 WALL BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567107",
"telephone_number": "504-393-2775",
"fax_number": "504-393-2744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 WALL BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567107",
"telephone_number": "504-393-2775",
"fax_number": "504-393-2744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR DOUGLAS MEHAFFIE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-28",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A",
"authorized_official_last_name": "MEHAFFIE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-393-2775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "1669409199",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447331",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "theurgentcare.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "websitr",
"address_1": "148 Wall Blvd",
"city": "Gretna",
"state": "LA",
"country_code": "US",
"postal_code": "700567107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "THE URGENT CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Westbank Urgent Care",
"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 27, 2022; 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.