Active NPI
Healthcare Innovations of Metairie LLC
- Family Medicine Physician
- Metairie, LA
National Provider Identifier
1679864466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200841
- Legal business name
- HEALTHCARE INNOVATIONS OF METAIRIE LLC
- Practice address
- 3535 Severn Ave
Ste 8
Metairie, LA 70002-3482 - Phone
- (504) 598-5074
- Fax
- (504) 598-5075
- NPI assigned
- Apr 27, 2011
- Last updated
- Jan 13, 2012
- 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. Clayton Mazoue, M.D.
- Title
- Owner
- Phone
- (504) 598-5074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200841 | LA | Primary |
Addresses
Primary practice location
3535 Severn Ave
Ste 8
Metairie, LA 70002-3482
Mailing address
3535 Severn Ave
Suite 8
Metairie, LA 70002-3482
Phone (504) 598-5074
National Provider Directory
National Provider DirectoryLocations
3535 Severn Ave
Ste 8
Metairie, LA 70002
Phone (504) 598-5074
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Specialist
- New Orleans, LA
- NPI 1598747107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1679864466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 SEVERN AVE",
"address_2": "SUITE 8",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023482",
"telephone_number": "504-598-5074",
"fax_number": "504-598-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SEVERN AVE",
"address_2": "STE 8",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023482",
"telephone_number": "504-598-5074",
"fax_number": "504-598-5075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE INNOVATIONS OF METAIRIE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-27",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "MAZOUE",
"authorized_official_first_name": "CLAYTON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "504-598-5074",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "200841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
- Healing Hearts for Community Development
- Healing Hearts for Community Development
- Health and Consulting Inc
- Health Sonodiagnostics Inc.
- Healthcare Development Group, LLC (Total Health Solutions)
- Healthcare Plus Limited Liability Company
- Healthlogic Pharmacy Nola LLC
- Healthy Stats Inc
- Hear Well Audiology, LLC
- Abigail Hebert, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.