Cross Gates Pediatrics, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.015652 Issued in LA

Legal business name

CROSS GATES PEDIATRICS, INC

Practice address

3020 Gause Blvd E
Slidell, LA 70461-4155

Phone

(985) 726-0800

Fax

(985) 726-0803

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Angela Smith Duthu, MD

Title

Owner

Phone

(985) 726-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Smith Duthu, MD Former legal business name

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3546/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1881860088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614155",
            "telephone_number": "985-726-0800",
            "fax_number": "985-726-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614155",
            "telephone_number": "985-726-0800",
            "fax_number": "985-726-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS GATES PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "DUTHU",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-726-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.015652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1333956",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Smith Duthu, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Crispin G. Bolisay, MD Apmc
• Brandon James Crochet, PA
• Robert Joseph Crochet II, RPH
• Geselle Maria Crockett Henry, DNP, APRN, NP-C
• Cross Gates Chiropractic, LLC
• Cross Gates Physical Therapy
• Jenny Pearl Crowe, LPC
• Angie G Crowell, OTR/L, CHT
• Ashley Crucia
• Christin Crues, CRNA

• Pediatrics Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.