Individual provider Active NPI

Ann Borreson, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Terrytown, LA
National Provider Identifier
1710979075
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2600 Belle Chasse Hwy
Suite 202
Terrytown, LA 70056-7156
Phone
(504) 393-4710
Fax
(504) 394-5970
NPI assigned
Aug 22, 2005
Last updated
Jul 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary
Allergy & Immunology Physician 207K00000X 10426R LA

Addresses

Primary practice location

2600 Belle Chasse Hwy
Suite 202
Terrytown, LA 70056-7156

Mailing address

2600 Belle Chasse Hwy
Suite 202
Terrytown, LA 70056-7156
Phone (504) 393-4710

Other identifiers 3

IdentifierTypeStateIssuer
1991767MedicaidLA
08037883MedicaidMS
693855OtherLAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051018000139 LA Practitioner - Allergy/ImmunologyPractitioner - Internal MedicinePractitioner - Pediatric Medicine 0547286759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine, Pediatric Medicine
Education
Medical College of Pennsylvania, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

4225 Lapalco Blvd
Marrero, LA 70072-4338
Phone (504) 371-9355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10426RLAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 20, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 20, 2017 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients
Ann E Vockroth MD a Professional Medical Corp Allergy & Immunology PastSince Jan 27, 2012 Accepting new patients

Locations

4225 Lapalco Blvd
Marrero, LA 70072
Phone (504) 391-7337

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

1514 Jefferson Hwy
New Orleans, LA 70121

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1710979075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HWY",
            "address_2": "SUITE 202",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-393-4710",
            "fax_number": "504-394-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BELLE CHASSE HWY",
            "address_2": "SUITE 202",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567156",
            "telephone_number": "504-393-4710",
            "fax_number": "504-394-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRESON",
        "first_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "10426R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1991767",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08037883",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "693855",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrytown, LA

Sources for this page

Verify at the official NPI Registry.