NPIMap

Organization Active NPI

Medical Specialists of New Orleans, Inc

  • Internal Medicine Physician
  • Hammond, LA
National Provider Identifier
1891846861
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
075450 Issued in LA
Legal business name
MEDICAL SPECIALISTS OF NEW ORLEANS, INC
Practice address
1206 J W Davis Dr
Suite 104
Hammond, LA 70403-5953
Phone
(504) 897-4017
Fax
(504) 899-6775
NPI assigned
Jan 16, 2007
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Paige Eaglin III
Title
Ceo
Phone
(504) 897-4017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 075450 LA Primary

Addresses

Primary practice location

1206 J W Davis Dr
Suite 104
Hammond, LA 70403-5953

Mailing address

3525 Prytania St
Suite 220
New Orleans, LA 70115-3500
Phone (504) 897-4017

Other identifiers 1

IdentifierTypeStateIssuer
1444171MedicaidLA

Other names 1

  • MEDICAL SPECIALISTS OF NEW ORLEANS, INC Former legal business name

National Provider Directory

National Provider Directory

Locations

1206 J W Davis Dr
Ste 104
Hammond, LA 70403
Phone (504) 897-4017

902 J W Davis Dr
Hammond, LA 70403
Phone (985) 340-2198

Practitioners & affiliated clinicians

Practitioners 9

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1891846861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 220",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-897-4017",
            "fax_number": "504-899-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 J W DAVIS DR",
            "address_2": "SUITE 104",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035953",
            "telephone_number": "504-897-4017",
            "fax_number": "504-899-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALISTS OF NEW ORLEANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "EAGLIN",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-897-4017",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "075450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444171",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL SPECIALISTS OF NEW ORLEANS, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.