Individual provider Active NPI

Mary Katherine Negrotto Gunther, PA-C

  • Physician Assistant
  • Terrytown, LA
National Provider Identifier
1821401779
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200695 Issued in LA
Practice address
2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone
(504) 392-3131
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200695 LA Primary
Physician Assistant 363A00000X PA00534 MS

Addresses

Primary practice location

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127

Mailing address

2500 Belle Chasse Hwy
Terrytown, LA 70056-7127
Phone (504) 392-3131

Other identifiers 2

IdentifierTypeStateIssuer
02424756MedicaidMS
2370464MedicaidLA

Other names 1

  • Mary Katherine Negrotto Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140820001820 LA Practitioner - Physician Assistant 5799903548 Reassigns benefits to 12 organizations
I20210721004012 MS Practitioner - Physician Assistant 5799903548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Mississippi, LLCGroup PAC ID 0143580993, 98 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (504) 842-4431

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

2375 Gause Blvd E
Pelican Urgent Care
Slidell, LA 70461-4142
Phone (985) 645-9000

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Mississippi, LLC CurrentSince Feb 25, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince May 23, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince May 23, 2016 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Feb 25, 2024 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Aqib Sultan MD LLC Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1514 Jefferson Hwy
New Orleans, LA 70121

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Interoperability endpoints

  • Direct secure messaging: katherine.negrotto@166622370791428.direct.elationemr.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1821401779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567127",
            "telephone_number": "504-392-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BELLE CHASSE HWY",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567127",
            "telephone_number": "504-392-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGROTTO GUNTHER",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200695",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00534",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02424756",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370464",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "NEGROTTO",
            "middle_name": "KATHERINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Terrytown, LA

Sources for this page

Verify at the official NPI Registry.