Organization Active NPI

Jeanfreau and Jeanfreau LLC

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1740343243
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JEANFREAU AND JEANFREAU LLC
Practice address
3800 Houma Blvd
Suite 335
Metairie, LA 70006-4182
Phone
(504) 779-5859
Fax
(985) 626-6995
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Dr. Wallace Jeanfreau, MD
Title
Partner
Phone
(504) 779-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3800 Houma Blvd
Suite 335
Metairie, LA 70006-4182

Mailing address

3800 Houma Blvd
Suite 335
Metairie, LA 70006-4182
Phone (504) 779-5859

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1740343243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 335",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-779-5859",
            "fax_number": "985-626-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 335",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-779-5859",
            "fax_number": "985-626-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANFREAU AND JEANFREAU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "JEANFREAU",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "504-779-5859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Sep 17, 2008; 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.