Childrens Clinic LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHILDRENS CLINIC LLC

Practice address

3 Storehouse Lane
Suite B
Destrehan, LA 70047

Phone

(985) 764-6556

Fax

(985) 764-6526

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Muhammad Shuja, MD

Title

Part Owner

Phone

(985) 764-6556

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Childrens Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Childrens Clinic LLC

  • Pediatrics Physician
  • Metairie, LA
  • NPI 1225193501
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neela Jayesh Shukla, M.D.

  • Legal Medicine
  • Destrehan, LA
  • NPI 1831279504
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689739971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STOREHOUSE LANE",
            "address_2": "SUITE B",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "70047",
            "telephone_number": "985-764-6556",
            "fax_number": "985-764-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 STOREHOUSE LANE",
            "address_2": "SUITE B",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "70047",
            "telephone_number": "985-764-6556",
            "fax_number": "985-764-6526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUJA",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "985-764-6556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445924",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie Aucoin Brunet, CCC-A
• Andrea Meyer Carter, PHARMD
• Sarah Ann Champagne, DO
• Jennifer Brooke Chauvin, MCD, CCC-SLP
• Bethany Eppling Chavez, CCC-SLP
• Patrick Lawrence Childress, D.P.T.
• Chiropractic Total Wellness Center, LLC
• Latara Marchelle Cloudet, RPH
• Kara Coe
• Anne Borne Colwart, ANP-C

• Pediatrics Physician in Destrehan, LA
• Providers in Destrehan, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.