Organization Active NPI

Strawberry Patch Pediatrics LLC

Doing business as West Oak Family Clinic

  • Rural Health Clinic/Center
  • Amite, LA
National Provider Identifier
1861088098
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STRAWBERRY PATCH PEDIATRICS LLC
Doing business as
West Oak Family Clinic
Practice address
903 W Oak St
Amite, LA 70422-2754
Phone
(855) 869-9898
NPI assigned
Dec 11, 2020
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Ernest Drake
Title
Ceo
Phone
(225) 278-7691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

903 W Oak St
Amite, LA 70422-2754

Mailing address

903 W Oak St
Amite, LA 70422-2754

Other names 1

  • West Oak Family Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200124001188 LA Part B Supplier - Clinic/Group Practice 5294160859 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Amite, LA; Ponchatoula, LA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

903 W Oak St
Amite, LA 70422
Phone (833) 901-1504

1054 SW Railroad Ave
Ponchatoula, LA 70454
Phone (855) 869-9898

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1861088098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 W OAK ST",
            "city": "AMITE",
            "state": "LA",
            "postal_code": "704222754",
            "telephone_number": "855-869-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAWBERRY PATCH PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-278-7691"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Oak Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Oak Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amite, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.

Verify at the official NPI Registry.