Azalea Medical, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201310 Issued in LA

Legal business name

AZALEA MEDICAL, L.L.C.

Doing business as

Azalea Medical Clinic

Practice address

3305 Metairie Rd.
Ste. 1
Metairie, LA 70001

Phone

(504) 434-2330

Fax

(504) 885-0820

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Katharine J. Rose, M.D.NPI 1407985864

Title

President

Phone

(504) 434-2330

Specialties & licenses 2

Addresses

Other names 1

• Azalea Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Katharine Judson Rose, M.D.

  • Family Medicine Physician
  • Metairie, LA
  • NPI 1407985864
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1942629589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 METAIRIE RD.",
            "address_2": "STE. 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-434-2330",
            "fax_number": "504-885-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 METAIRIE RD.",
            "address_2": "STE. 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-434-2330",
            "fax_number": "504-885-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA MEDICAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-434-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201310",
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "FL",
            "license": "201310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azalea Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Azalea Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Rene Ayala
• Brandt Aymond, PA-C
• Kristen Marie Aymond
• Ali Hussein Ayoub, M.D.
• Trenell Ayro
• Ananna Azam
• B&B Drugs Inc (Epic Pharmacy)
• B&B Drugs Inc (B&B Discount Pharmacy)
• Cecilia H Babin, PT
• Joan K Babin, MED CCCSLP

• Family Medicine Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.