Active NPI
Pediatric Radiology Associates of Louisiana
- Pediatric Radiology Physician
- New Orleans, LA
National Provider Identifier
1902917073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- Legal business name
- PEDIATRIC RADIOLOGY ASSOCIATES OF LOUISIANA
- Practice address
- 200 Henry Clay Ave
New Orleans, LA 70118-5720 - Phone
- (504) 896-9565
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth Ward
- Title
- Manager
- Phone
- (504) 896-9565
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | LA | Primary |
Addresses
Primary practice location
200 Henry Clay Ave
New Orleans, LA 70118-5720
Mailing address
200 Henry Clay Ave
New Orleans, LA 70118-5720
Phone (504) 896-9565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1440612 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pediatric Radiology Physician
- New Orleans, LA
- NPI 1689776510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902917073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720",
"telephone_number": "504-896-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HENRY CLAY AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701185720",
"telephone_number": "504-896-9565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC RADIOLOGY ASSOCIATES OF LOUISIANA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "504-896-9565",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1440612",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
- Robert Glynn Peden, M.D.
- Pedi-Pop Pediatrics, LLC
- Pediatric Associates of New Orleans
- Pediatric Language and Feeding LLC
- Pediatric Pulmonary & Critical Care
- Paola Natalia Pedraza Cruz
- Benjamin B. Peeler, M.D.
- Earl Quinn Peeper, M.D.
- Yvette Peevy, SP
- Pegasus Biologics LLC (Pegasus Biologics Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.