NPIMap

Organization Active NPI

William K Mask, M.D.

  • Diagnostic Radiology Physician
  • Metairie, LA
National Provider Identifier
1871746420
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A48451 Issued in CA
Legal business name
WILLIAM K MASK, M.D.
Practice address
3901 Houma Blvd
Suite 107
Metairie, LA 70006-2930
Phone
(504) 908-0337
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
William Kenneth Mask, M.D.NPI 1215030507
Title
Medical Doctor
Phone
(504) 908-0337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X A48451 CA Primary

Addresses

Primary practice location

3901 Houma Blvd
Suite 107
Metairie, LA 70006-2930

Mailing address

3901 Houma Blvd
Suite 107
Metairie, LA 70006-2930
Phone (504) 908-0337

Other identifiers 2

IdentifierTypeStateIssuer
1670189MedicaidLA
A48451OtherCAPROFESSIONAL LICENSE

National Provider Directory

National Provider Directory

Locations

3901 Houma Blvd
Ste 107
Metairie, LA 70006
Phone (323) 467-1686

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1871746420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-908-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD",
            "address_2": "SUITE 107",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-908-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM K MASK, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "MASK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "504-908-0337",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A48451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1670189",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "A48451",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.