NPIMap

Organization Active NPI

Gastroenterology Anesthesia LLC

  • Specialist
  • Hammond, LA
National Provider Identifier
1699089581
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
108 Issued in LA
Legal business name
GASTROENTEROLOGY ANESTHESIA LLC
Practice address
16061 Doctors Blvd Ste a
Hammond, LA 70403-1499
Phone
(985) 345-6090
NPI assigned
Aug 3, 2010
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Gregory Mark Mula
Title
Medical Director
Phone
(985) 345-6090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 108 LA Primary

Addresses

Primary practice location

16061 Doctors Blvd Ste a
Hammond, LA 70403-1499

Mailing address

16061 Doctors Blvd Ste a
Hammond, LA 70403-1499
Phone (985) 345-6090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130514000265 LA Part B Supplier - Clinic/Group Practice 5890955264 Receives reassigned benefits from 36 practitioners
Practice locations: Covington, LA; Hammond, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1699089581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16061 DOCTORS BLVD STE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031499",
            "telephone_number": "985-345-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16061 DOCTORS BLVD STE A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031499",
            "telephone_number": "985-345-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MULA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "985-345-6090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.

Verify at the official NPI Registry.