Jefferson OB GYN Associates

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

466270 Issued in LA

Legal business name

JEFFERSON OB GYN ASSOCIATES

Practice address

4740 S I 10 Service Rd
Ste 340
Metairie, LA 70001

Phone

(504) 455-0004

Fax

(504) 455-0097

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Jane C Miller, MD

Title

Managing Partner

Phone

(504) 455-0004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922212349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD",
            "address_2": "STE 340",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-455-0004",
            "fax_number": "504-455-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD",
            "address_2": "STE 340",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-455-0004",
            "fax_number": "504-455-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON OB GYN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "504-455-0004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "466270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445576",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffcare
• Jefferson Ambulatory Surgery Center LLC
• Jefferson Headache and Spine,L.L.C.
• Jefferson Medical Group, LLC
• Jefferson Neurological Associates, Apmc
• Jefferson Orthopedics Inc
• Jefferson Parish School Based Health Center
• Jefferson Parish Servie Authority
• Jefferson Pathology LLC
• Jefferson Psychiatric Associates

• Obstetrics & Gynecology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• 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.

Verify at the official NPI Registry.