Organization Active NPI

Healthcare Innovations of Metairie LLC

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1679864466
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200841 Issued in LA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.