Bone & Joint Clinic, LLC
Organization Active NPI Orthopaedic Surgery Physician · Marrero, LA
NPI 1821848201 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1821848201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- BONE & JOINT CLINIC, LLC
Authorized official
- Name
- Daniel J Gallagher
- Title
- M.D.
- Phone
- (504) 391-7670
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Practitioners 15
-
Carmen Carmouche, PT
-
Fred F Chiu, M.D.
-
Jared Cole, PHYSICAL THERAPIST
-
Neil Duplantier, M.D.
-
Alexander James Farge, PT, DPT
-
Daniel James Gallagher, M.D.
-
Lacey I Godbold, DPT
-
Gustavo Godoy, MD
-
Scott J Habetz, M.D.
-
Kearny Q Robert III, M.D.
-
Robert L Shackleton, M.D.
-
James M Todd III, M.D.
-
Valerie Daneen Vollman, LOTR, CHT
-
Gina Rose Cahill, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241002001367 | LA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery |
5799097556 | Practice locations: Marrero, LA |
National Provider Directory
- Tax ID family
- Bone Joint Clinic LLC
- Part of
- Bone Joint Clinic LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes |
Addresses
Primary practice location
4633 Wichers Dr
Marrero, LA 70072
Mailing address
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
Other providers in Marrero, LA
- Blessed Life Health Services
- Lindsay Blue
- Calah Bolden
- Galla Bonanni
- Bone & Joint Clinic
- Bone & Joint Clinic, LLC Physical Therapy
- Bone & Joint Physical Therapy Services
- Kristen Bonfiglio
- Jonathan Charles Boraski
- Ariane Bordere
All providers in Marrero, LA · Orthopaedic Surgery Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.