Individual provider Active NPI

Jane C Miller, MD

  • Obstetrics Physician
  • Metairie, LA
National Provider Identifier
1679534523
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
015455 Issued in LA
Practice address
4740 Si- 10 Service Rd
Ste 340
Metairie, LA 70001
Phone
(504) 455-0004
Fax
(504) 455-0097
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 015455 LA
Obstetrics Physician 207VX0000X 015455 LA Primary

Addresses

Primary practice location

4740 Si- 10 Service Rd
Ste 340
Metairie, LA 70001

Mailing address

4740 S I 10 Service Rd W
Ste 340
Metairie, LA 70001-1234
Phone (504) 455-0004

Other identifiers 1

IdentifierTypeStateIssuer
1329347MedicaidLA

Other names 1

  • Jane L Cagan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015455LAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1679534523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD W",
            "address_2": "STE 340",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011234",
            "telephone_number": "504-455-0004",
            "fax_number": "504-455-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 SI- 10 SERVICE RD",
            "address_2": "STE 340",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-455-0004",
            "fax_number": "504-455-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JANE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "015455",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "LA",
            "license": "015455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1329347",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "CAGAN",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former 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 Oct 21, 2015; 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.