EAST JEFFERSON GENERAL HOSPITAL (NPI# 1891884516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891884516 |
| Entity Type | Organization |
| Organization Name | EAST JEFFERSON GENERAL HOSPITAL |
| Practice Address |
4228 Houma Blvd Ste 200 Metairie LA 70006-3004 |
| Mailing Address |
4300 Houma Blvd Ste 202 Metairie LA 70006-2924 |
| Practice Telephone | 5044547878 |
| Practice Fax Number | 5048833775 |
| Mailing Telephone | 5045036700 |
| Mailing Fax Number | 5045036710 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | JAMES P REVELS (DIRECTOR) |
| Authorized Official Telephone | 5045034804 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST JEFFERSON GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 282N00000X | General Acute Care Hospital | 122 | LA | Hospitals |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1940089 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275081465 | East Jefferson General Hospital | General Acute Care Hospital | 3726 Houma Blvd, Metairie, LA 70006-4116 | 2016-09-15 |
| 1538174347 | East Jefferson General Hospital | Psychiatric Unit | 4200 Houma Boulevard, Metairie, LA 70006-0000 | 2006-07-30 |
| 1295014090 | East Jefferson General Hospital | Pharmacy | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2011-08-10 |
| 1306133483 | East Jefferson General Hospital | General Acute Care Hospital | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2011-07-08 |
| Street Address |
4228 HOUMA BLVD STE 200 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961684 | Charles Thomas Dean | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2020-04-16 |
| 1578182671 | William Read Founds | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2020-04-09 |
| 1922636349 | Marshall Joseph Frieden | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2020-03-31 |
| 1770111767 | Shonte Heim Joseph | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2020-03-27 |
| 1134756117 | Christopher Brian Vanhise | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2020-03-27 |
| 1447816822 | Bryce Forrest Chapman | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2019-05-11 |
| 1780247841 | Amy Katherine Galiano | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2019-04-15 |
| 1710448360 | Joni Kay | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2019-03-27 |
| 1174027593 | Megan Arbour Stryker | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd Ste 200, Metairie, LA 70006 | 2018-03-20 |
| 1093169039 | Laura Tobin Mansfield | Family Medicine | 4228 Houma Blvd Ste 200, Metairie, LA 70006-3004 | 2016-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457845935 | Enore Blunt | Family Medicine | 545 Oaklawn Dr, Metairie, LA 70005-2808 | 2018-06-19 |
| 1356830251 | Metairie Total Wellness Clinic, LLC | Family Medicine | 1813 Veterans Memorial Blvd Ste B, Metairie, LA 70005-2637 | 2018-05-07 |
| 1871002451 | Bonsai Medical LLC | Family Medicine | 3900 N Causeway Blvd Ste 1470, Metairie, LA 70002-7253 | 2017-09-26 |
| 1932634813 | David Benjamin Newsome | Family Medicine | 701 Metairie Rd Ste 2a208, Metairie, LA 70005-4061 | 2017-04-27 |
| 1649684424 | Brittany Landry | Family Medicine | 4228 Houma Blvd Ste 230, Metairie, LA 70006-3020 | 2014-06-19 |
| 1942591458 | Joseph Andrew Mather | Family Medicine | 3601 Houma Blvd Ste 300, Metairie, LA 70006-4310 | 2011-05-02 |
| 1275823916 | Tai Anh Nguyen | Family Medicine | 3848 Veterans Memorial Blvd, Suite 101, Metairie, LA 70002-5671 | 2011-04-14 |
| 1831493550 | La Medical Group Inc | Family Medicine | 4428 Conlin St, Metairie, LA 70006-2124 | 2011-01-10 |
| 1467781476 | Fleur De Lis Family Care | Family Medicine | 301 Helios Ave, Metairie, LA 70005-3756 | 2009-12-22 |
| 1104054972 | Harry Hall Winters IIi | Family Medicine | 310 Rue St. Peter, Metairie, LA 70005 | 2009-06-30 |
| Find all providers in METAIRIE | ||||
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| 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.