Individual provider Active NPI

Gerald W Vocke, M.D.

  • Specialist
  • Metairie, LA
National Provider Identifier
1871597633
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
013737 Issued in LA
Practice address
3645 Houma Blvd
Metairie, LA 70006-4229
Phone
(504) 885-4677
Fax
(504) 888-0549
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 013737 LA Primary

Addresses

Primary practice location

3645 Houma Blvd
Metairie, LA 70006-4229

Mailing address

3645 Houma Blvd
Metairie, LA 70006-4229
Phone (504) 885-4677

Other identifiers 1

IdentifierTypeStateIssuer
1173215MedicaidLA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051013000913 LA Practitioner - Otolaryngology 5193740520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013737LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
MG Desalvo MD&GM Gremillion Mdamc Specialist CurrentSince Oct 18, 2005 Accepting new patients

Locations

3645 Houma Blvd
Metairie, LA 70006
Phone (504) 885-4677

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1871597633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064229",
            "telephone_number": "504-885-4677",
            "fax_number": "504-888-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064229",
            "telephone_number": "504-885-4677",
            "fax_number": "504-888-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOCKE",
        "first_name": "GERALD",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "013737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1173215",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.