NPIMap

Organization Active NPI

Ochsner Clinic LLC

  • General Practice Physician
  • Hattiesburg, MS
National Provider Identifier
1962796789
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OCHSNER CLINIC LLC
Practice address
#4 Willow Pointe
Suite 1
Hattiesburg, MS 39402
Phone
(601) 296-3070
NPI assigned
Jun 9, 2011
Organization subpart
Yes
Parent organization
OCHSNER CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Scott J Posecai
Title
Cfo
Phone
(504) 842-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

#4 Willow Pointe
Suite 1
Hattiesburg, MS 39402

Mailing address

PO Box 54851
New Orleans, LA 70154-4851
Phone (504) 842-4000

Other names 1

  • Ochsner - Pediatric Cardiology Hattiesburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110815000940 MS Part B Supplier - Clinic/Group Practice 8224933619 Receives reassigned benefits from 14 practitioners
7 other NPIs on this enrollment
Practice locations: Bay Saint Louis, MS; Biloxi, MS; Flowood, MS; Gulfport, MS; McComb, MS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Ochsner Clinic of Baton

Locations

4 Willow Pt
Ste 1
Hattiesburg, MS 39402
Phone (601) 296-3070

Practitioners & affiliated clinicians

Practitioners 2,852

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,852

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1962796789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54851",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544851",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#4 WILLOW POINTE",
            "address_2": "SUITE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-296-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER CLINIC LLC",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "POSECAI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "504-842-4000"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner - Pediatric Cardiology Hattiesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.