NPIMap

Organization Active NPI

Metropolitan Gastroenterology Associates Apmc

  • Gastroenterology Physician
  • Marrero, LA
National Provider Identifier
1902822547
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
METROPOLITAN GASTROENTEROLOGY ASSOCIATES APMC
Practice address
1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151
Phone
(504) 349-6423
Fax
(504) 934-8097
NPI assigned
Jul 15, 2006
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Mr. Karl K Hambacher
Title
Administrator
Phone
(504) 349-6401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite S-450
Marrero, LA 70072-3151

Mailing address

P.O. Box 1520
Marrero, LA 70073-1520
Phone (504) 349-6423

Other identifiers 1

IdentifierTypeStateIssuer
1794864MedicaidLA

National Provider Directory

National Provider Directory

Locations

4228 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 456-8020

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1902822547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1520",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700731520",
            "telephone_number": "504-349-6423",
            "fax_number": "504-934-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6423",
            "fax_number": "504-934-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN GASTROENTEROLOGY ASSOCIATES APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "HAMBACHER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "504-349-6401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1794864",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.