NPIMap

Organization Active NPI

La Pain Doctor Inc

  • Pain Medicine Physician
  • La Place, LA
National Provider Identifier
1760856215
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MD.026645 Issued in LA
Legal business name
LA PAIN DOCTOR INC
Practice address
502 Rue de Sante
Suite 303
La Place, LA 70068-5424
Phone
(504) 473-5589
NPI assigned
Nov 20, 2015
Last updated
Aug 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Firas Hijazi, MDNPI 1962415943
Title
Owner
Phone
(504) 473-5589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X MD.026645 LA Primary

Addresses

Primary practice location

502 Rue de Sante
Suite 303
La Place, LA 70068-5424

Mailing address

5000 W Esplanade Ave # 232
Metairie, LA 70006-2570
Phone (504) 229-4866

Other identifiers 1

IdentifierTypeStateIssuer
2481142MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160222001342 LA Part B Supplier - Clinic/Group Practice 7618272121 Receives reassigned benefits from 8 practitioners
Practice locations: Hammond, LA; Metairie, LA; La Place, LA; Harvey, LA; Lutcher, LA

National Provider Directory

National Provider Directory

Locations

42276 Veterans Ave
Hammond, LA 70403
Phone (985) 549-6852

3820 Lapalco Blvd
Harvey, LA 70058

627 Belle Terre Blvd
La Place, LA 70068

12371 Highway 90
Luling, LA 70070

1645 Lutcher Ave
Ste 1200
Lutcher, LA 70071

3901 Houma Blvd
Ste 410
Metairie, LA 70006
Phone (504) 408-0804

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1760856215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W ESPLANADE AVE # 232",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062570",
            "telephone_number": "504-229-4866",
            "fax_number": "504-229-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RUE DE SANTE",
            "address_2": "SUITE 303",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685424",
            "telephone_number": "504-473-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAIN DOCTOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "HIJAZI",
        "authorized_official_first_name": "FIRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-473-5589",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "LA",
            "license": "MD.026645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2481142",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.