Mga Gastrointestinal Diagnostic & Therapeutic-Metairie

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC-METAIRIE

Doing business as

MGA Gastrointestinal Diagnostic and Therapeutic Center - Metairie

Practice address

3333 Kingman St
202
Metairie, LA 70006-4236

Phone

(504) 885-3345

NPI assigned

Jul 15, 2006

Last updated

Sep 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher A Holden

Title

Chief Manager of LLC

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MGA Gastrointestinal Diagnostic and Therapeutic Center - Metairie Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Metairie la Endoscopy ASC LLC

  dba MGA Gastrointestinal Diagnostic and Therapeutic Center-Metairie

  • Ambulatory Surgical Clinic/Center
  • Metairie, LA
  • NPI 1134300080

  O20070523000061

  Same enrollment

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1821014473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700730121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 KINGMAN ST",
            "address_2": "202",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064236",
            "telephone_number": "504-885-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC-METAIRIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182915",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGA Gastrointestinal Diagnostic and Therapeutic Center - Metairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynne Meyer, M.D.
• Angelina Meyers
• William M Meyers Jr., M.D.
• McKala Meziere
• MG Desalvo MD&GM Gremillion Mdamc
• MHM Occupational Medicine, LLC
• MHM Urgent Care Slidell, LLC
• Jaime Michel, MD
• Kelly Michel, MD
• Kelly Michel

• Endoscopy Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Endoscopy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.