Active NPI
Jonathan James Gisclair, DPM
- Podiatrist
- Cut Off, LA
National Provider Identifier
1922020775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PD0110
- Practice address
- 16148 West Main Street
Cut Off, LA 70345 - Phone
- (985) 325-3668
- Fax
- (985) 325-3670
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PD0110 | LA | Primary |
Addresses
Primary practice location
16148 West Main Street
Cut Off, LA 70345
Mailing address
PO Box 1759
Department 952
Houston, TX 77251-1759
Phone (713) 554-5304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1131211 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051208000789 | LA | Practitioner - Podiatry | 0345261103 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.21 of 100
- Quality
- 81.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD0110 | LA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients | |
| Louisiana State University School of Medicine in New Orleans Faculty G | Current | Accepting new patients |
Locations
4500 10th St
Ste B
Marrero, LA 70072
Phone (504) 412-1960
1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741
2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741
2025 Gravier St
Fl 6
New Orleans, LA 70112
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1477582526
LA
-
- Durable Medical Equipment & Medical Supplies
- Kenner, LA
- NPI 1316417629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231977600000",
"number": "1922020775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1759",
"address_2": "DEPARTMENT 952",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772511759",
"telephone_number": "713-554-5304",
"fax_number": "713-554-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16148 WEST MAIN STREET",
"city": "CUT OFF",
"state": "LA",
"postal_code": "70345",
"telephone_number": "985-325-3668",
"fax_number": "985-325-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GISCLAIR",
"first_name": "JONATHAN",
"middle_name": "JAMES",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2009-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "LA",
"license": "PD0110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1131211",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cut Off, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.