NPIMap

Organization Active NPI

LMG LLC

  • Orthopaedic Surgery Physician
  • Metairie, LA
National Provider Identifier
1871919936
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LMG LLC
Practice address
1615 Metairie Rd
Metairie, LA 70005-3974
Phone
(504) 897-6351
Fax
(504) 899-7317
NPI assigned
Mar 13, 2014
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Kearny Q Robert, MDNPI 1730117169
Title
Director
Phone
(504) 347-5421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physician Assistant 363A00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Psychiatry Physician 2084P0800X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1615 Metairie Rd
Metairie, LA 70005-3974

Mailing address

1615 Metairie Rd
Metairie, LA 70005-3974
Phone (504) 897-6351

Other practice location 1

2600 Belle Chasse Hwy Ste 211
Terrytown, LA 70056-7156
Phone (504) 391-7670

Other identifiers 2

IdentifierTypeStateIssuer
7352890003OtherPTAN
7352890003OtherMEDICARE NSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141110000730 LA Part B Supplier - Clinic/Group Practice 7719109628 Receives reassigned benefits from 58 practitioners
Practice locations: Boutte, LA; Covington, LA; Marrero, LA; Metairie, LA; Terrytown, LA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • LMG LLC
    • Orthopaedic Surgery Physician
    • Terrytown, LA
    • NPI 1316343981

    7719109628

    Same PAC ID

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1615 Metairie Rd
Metairie, LA 70005
Phone (504) 897-6351

2600 Belle Chasse Hwy
#1
Terrytown, LA 70056
Phone (504) 394-7000

Practitioners & affiliated clinicians

Practitioners 62

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 62

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1871919936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053974",
            "telephone_number": "504-897-6351",
            "fax_number": "504-899-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053974",
            "telephone_number": "504-897-6351",
            "fax_number": "504-899-7317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Belle Chasse Hwy Ste 211",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567156",
            "country_code": "US",
            "telephone_number": "504-391-7670",
            "fax_number": "504-378-9439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LMG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "KEARNY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-347-5421",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "7352890003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7352890003",
            "state": null
        }
    ],
    "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 Dec 17, 2020; 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.