James O Theis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12004R Issued in LA

Practice address

1111 Medical Center Blvd
Suite N408
Marrero, LA 70072

Phone

(504) 349-2908

Fax

(504) 378-0019

NPI assigned

Oct 12, 2006

Last updated

May 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Patricia Jackson MD LLCGroup PAC ID 7911072335, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Total Home Health Care, LLC Home health agency, Gretna, LA, CCN 197508
• West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Patricia Jackson MD, LLC

  • Internal Medicine Physician
  • Marrero, LA
  • NPI 1952409567
  Medicare reassignment Care Compare group NPD Authorized official

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

• Total Health Services,LLC

  dba Total Home Health Care

  • Home Health Agency
  • Gretna, LA
  • NPI 1003905852
  Care Compare affiliation
• West Jefferson Holdings, LLC

  dba West Jefferson Medical Center

  • General Acute Care Hospital
  • Marrero, LA
  • NPI 1265437644
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1780773440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 CONSTANCE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701185806",
            "telephone_number": "504-269-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N408",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-2908",
            "fax_number": "504-378-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIS",
        "first_name": "JAMES",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "12004R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531723",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiawanne Terrell
• Jonas Herbert Terry, PHARMD., B.S.
• Thao Mai, LLC
• The Kidz Coalition
• The Mai Medicine Group LLC
• Therapeutic Behavioral Servicess
• David Michael Theriot, M.D.
• Daniel Craig Thibodeaux, LPC
• Megan Thilman
• Larry Gotfrey Thirstrup, MD

• Family Medicine Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.