Active NPI
Bone & Joint Clinic, LLC
- Orthopaedic Surgery Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BONE & JOINT CLINIC, LLC
- Practice address
- 4633 Wichers Dr
Marrero, LA 70072 - Phone
- (504) 347-5421
- Fax
- (504) 378-9439
- NPI assigned
- Mar 26, 2024
- Last updated
- Jul 15, 2024
- Organization subpart
- Yes
- Parent organization
- BONE & JOINT CLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel J Gallagher
- Title
- M.D.
- Phone
- (504) 391-7670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
4633 Wichers Dr
Marrero, LA 70072
Mailing address
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241002001367 | LA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 5799097556 | Practice locations: Marrero, LA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Bone Joint Clinic LLC Physical Therapy
- Part of
- Bone Joint Clinic LLC Physical Therapy
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Terrytown, LA
- NPI 1124539366
-
- Orthopaedic Surgery Physician
- Terrytown, LA
- NPI 1154171536
-
- Physical Therapist
- Marrero, LA
- NPI 1477064616
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Orthopaedic Surgery Physician
- Marrero, LA
- NPI 1437186178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721001600000",
"number": "1821848201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4633 WICHERS DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-347-5421",
"fax_number": "504-378-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 WICHERS DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-347-5421",
"fax_number": "504-378-9439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BONE & JOINT CLINIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BONE & JOINT CLINIC, LLC",
"enumeration_date": "2024-03-26",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "504-391-7670"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.