MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS (NPI# 1366721409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366721409 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS |
| Other Organization Name | INTERIM LSU PUBLIC HOSPITAL |
| Practice Address |
2025 Gravier Street New Orleans LA 70112 |
| Mailing Address |
2021 Perdido St New Orleans LA 70112-1352 |
| Practice Telephone | 5049032373 |
| Practice Fax Number | 5049031163 |
| Mailing Telephone | 5049035153 |
| Mailing Fax Number | 5046800203 |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |
| Authorized Official Name | ROXANE A. TOWNSEND (INTERIM CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5049034907 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
191 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1765651 | 05 |
| Other Name | Type Code |
|---|---|
| Interim LSU Public Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689977589 | Medical Center of Louisiana At New Orleans | Clinic/Center | 1200 L B Landry Ave, New Orleans, LA 70114-2657 | 2010-12-15 |
| 1154624468 | Medical Center of Louisiana At New Orleans | Clinic/Center | 725 Vallette St, New Orleans, LA 70114-4347 | 2010-12-08 |
| 1952604274 | Medical Center of Louisiana At New Orleans | Clinic/Center | 2235 Poydras St., New Orleans, LA 70119-7561 | 2010-12-08 |
| 1396872545 | Medical Center of Louisiana At New Orleans | Nurse Anesthetist, Certified Registered | 2021 Perdido St, New Orleans, LA 70112-1352 | 2007-02-27 |
| 1053352633 | Medical Center of Louisiana At New Orleans | Rehabilitation Unit | 1532 Tulane Ave, New Orleans, LA 70112-2860 | 2006-06-08 |
| 1487647160 | Medical Center of Louisiana At New Orleans | Pharmacist | 1532 Tulane Ave, West Pavilion, New Orleans, LA 70112-2860 | 2005-08-26 |
| Street Address |
2025 GRAVIER STREET |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225323819 | Tyler K. Bartley | Clinical Nurse Specialist | 2025 Gravier Street, New Orleans, LA 70112-2269 | 2011-06-13 |
| 1043714801 | Scott Lavie | Student in an Organized Health Care Education/Training Program | 2025 Gravier Street, New Orleans, LA 70112 | 2018-03-19 |
| 1922380740 | Medical Center of Louisiana @ New Orleans | Clinic/Center | 2025 Gravier Street, 5th Floor, New Orleans, LA 70112-0000 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1295354207 | Just Health | Clinic/Center | 619 S White St, New Orleans, LA 70119-7348 | 2020-04-09 |
| 1164851176 | St. Anna's Episcopal Church In New Orleans | Clinic/Center | 1313 Esplanade Ave, New Orleans, LA 70116-1836 | 2013-11-11 |
| 1528323490 | New Orleans Faith Health Alliance | Clinic/Center | 3401 Canal St, New Orleans, LA 70119-6207 | 2012-07-06 |
| 1689977589 | Medical Center of Louisiana At New Orleans | Clinic/Center | 1200 L B Landry Ave, New Orleans, LA 70114-2657 | 2010-12-15 |
| 1154624468 | Medical Center of Louisiana At New Orleans | Clinic/Center | 725 Vallette St, New Orleans, LA 70114-4347 | 2010-12-08 |
| 1952604274 | Medical Center of Louisiana At New Orleans | Clinic/Center | 2235 Poydras St., New Orleans, LA 70119-7561 | 2010-12-08 |
| 1467687707 | Lower 9th Ward Health Clinic | Clinic/Center | 5228 Saint Claude Ave, New Orleans, LA 70117-3752 | 2009-05-15 |
| 1023263068 | Daughters of Charity Services of New Orleans | Clinic/Center | 4164 Canal St, Administrative Offices, New Orleans, LA 70119-5941 | 2008-11-18 |
| 1730202110 | Contemporory Family Health Centers, Inc. | Clinic/Center | 2426 Simon Bolivar, New Orleans, LA 70113 | 2007-04-09 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
Please comment or provide details below to improve the information on MEDICAL CENTER OF LOUISIANA AT NEW ORLEANS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.