Active NPI
Jeffery Carl Lacroix, MD
- Emergency Medicine Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 310881
- Practice address
- 5246 Brittany Dr
Lsu Emergency Medicine Residency Program
Baton Rouge, LA 70808-9136 - Phone
- (225) 757-4142
- Fax
- (225) 757-4230
- NPI assigned
- Mar 22, 2017
- Last updated
- May 30, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 310881 | LA | Primary |
Addresses
Primary practice location
5246 Brittany Dr
Lsu Emergency Medicine Residency Program
Baton Rouge, LA 70808-9136
Mailing address
1119 NW 41St St
Oklahoma City, OK 73118-5444
Phone (918) 869-6208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310881 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Emergency Physicians Associated Inc | Emergency Medicine | Current | Accepting new patients |
| Midpacific Hospitalists LLC | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 932-4100
56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HEPA, Inc.
- Emergency Medicine Physician
- Kailua, HI
- NPI 1801843198
-
- Internal Medicine Physician
- Kailua, HI
- NPI 1053778217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1952832800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 NW 41ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731185444",
"telephone_number": "918-869-6208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5246 BRITTANY DR",
"address_2": "LSU EMERGENCY MEDICINE RESIDENCY PROGRAM",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708089136",
"telephone_number": "225-757-4142",
"fax_number": "225-757-4230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACROIX",
"first_name": "JEFFERY",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "310881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.