Active NPI
Andrea McDonald Ocmond, M.D.
- Pediatrics Physician
- Prairieville, LA
National Provider Identifier
1790954451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.202266
- Practice address
- 17038 Commerce Centre Dr
Prairieville, LA 70769-3483 - Phone
- (225) 744-4484
- Fax
- (225) 677-9359
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.202266 | LA | Primary |
Addresses
Primary practice location
17038 Commerce Centre Dr
Prairieville, LA 70769-3483
Mailing address
17038 Commerce Centre Dr
Prairieville, LA 70769-3483
Phone (225) 744-4484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055948 | Medicaid | LA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202266 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- andrea.ocmond.1@21762.direct.athenahealth.com
- https://api.platform.athenahealth.com/21762/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Prairieville, LA
- NPI 1477611556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1790954451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17038 COMMERCE CENTRE DR",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693483",
"telephone_number": "225-744-4484",
"fax_number": "225-677-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17038 COMMERCE CENTRE DR",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693483",
"telephone_number": "225-744-4484",
"fax_number": "225-677-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OCMOND",
"first_name": "ANDREA",
"middle_name": "MCDONALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.202266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1055948",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
- Nola Heiress Corporation
- Derrek Shane Oakley, D.C.
- Ochsner Clinic LLC (Ochsner Health Center - Prairieville)
- Ochsner Clinic LLC (Ochsner Health Center Baton Rouge - Prairiville)
- Trudy Ann Ocmand
- Opal Goodwin, LCSW, LLC (Goodwin Counseling Services)
- Oral Surgery& Dental Implant Center of Louisiana
- Oras Angel's LLC
- Piper Oubre, LAT, ATC
- Ladeale Simmons Owens
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.