Organization Active NPI

La Medical Group Inc

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1831493550
Registry record updated Jan 10, 2011
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 20, 2014.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LA MEDICAL GROUP INC
Practice address
4428 Conlin St
Metairie, LA 70006-2124
Phone
(504) 883-8334
Fax
(504) 883-8336
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Siranush Tulumdzhyan
Title
Ceo
Phone
(504) 883-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4428 Conlin St
Metairie, LA 70006-2124

Mailing address

4428 Conlin St
Metairie, LA 70006-2124
Phone (504) 883-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

4428 Conlin St
Metairie, LA 70006
Phone (504) 883-8334

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1831493550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 CONLIN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062124",
            "telephone_number": "504-883-8334",
            "fax_number": "504-883-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 CONLIN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062124",
            "telephone_number": "504-883-8334",
            "fax_number": "504-883-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "TULUMDZHYAN",
        "authorized_official_first_name": "SIRANUSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-883-8334"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.