Individual provider Active NPI

John Rembert Carradine, DPM

  • Podiatrist
  • Metairie, LA
National Provider Identifier
1841224565
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD0111 Issued in LA
Practice address
3800 Houma Blvd
Suite 260
Metairie, LA 70006-4182
Phone
(504) 888-2797
Fax
(504) 888-2637
NPI assigned
Jul 10, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD0111 LA Primary

Addresses

Primary practice location

3800 Houma Blvd
Suite 260
Metairie, LA 70006-4182

Mailing address

3800 Houma Blvd
Suite 260
Metairie, LA 70006-4182
Phone (504) 888-2797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000994 LA Practitioner - Podiatry 4789689928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pontchartrain Bone and Joint Clinic LTDGroup PAC ID 8426091497, 18 clinicians

Practice addresses (Care Compare)

3939 Houma Blvd
Suite 21
Metairie, LA 70006-2921
Phone (504) 885-6464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue113
Removal of skin lesions1-10
Removal of nail tissue206
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PD0111LAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
LMG, LLC CurrentSince Mar 1, 2017 Accepting new patients
Pontchartrain Bone & Joint Clinic, LTD. CurrentSince Dec 1, 2023 Accepting new patients
LMG LLC CurrentSince Mar 1, 2017 Accepting new patients

Locations

14041 Highway 90
Boutte, LA 70039
Phone (504) 503-6445

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

3939 Houma Blvd
Ste 21
Metairie, LA 70006
Phone (504) 885-6464

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_PBJC
  • Direct secure messaging: jcarradine@pbjc1810.srs-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1841224565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-888-2797",
            "fax_number": "504-888-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 HOUMA BLVD",
            "address_2": "SUITE 260",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064182",
            "telephone_number": "504-888-2797",
            "fax_number": "504-888-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRADINE",
        "first_name": "JOHN",
        "middle_name": "REMBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.