Individual provider Active NPI

Thomas K. Judd, M.D.

  • Gastroenterology Physician
  • New Orleans, LA
National Provider Identifier
1740276542
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
014758 Issued in LA
Practice address
3700 Saint Charles Ave
4TH Floor
New Orleans, LA 70115-4637
Phone
(504) 412-1444
Fax
(504) 412-1497
NPI assigned
Sep 27, 2005
Last updated
Jun 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 014758 LA Primary

Addresses

Primary practice location

3700 Saint Charles Ave
4TH Floor
New Orleans, LA 70115-4637

Mailing address

3700 Saint Charles Ave
4TH Floor
New Orleans, LA 70115-4637
Phone (504) 412-1444

Other identifiers 1

IdentifierTypeStateIssuer
1394220MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014758LAMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1740276542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "504-412-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SAINT CHARLES AVE",
            "address_2": "4TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701154637",
            "telephone_number": "504-412-1444",
            "fax_number": "504-412-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "THOMAS",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "014758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1394220",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.