METAIRIE LA ENDOSCOPY ASC LLC (NPI# 1134300080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134300080 |
| Entity Type | Organization |
| Organization Name | METAIRIE LA ENDOSCOPY ASC LLC |
| Other Organization Name | MGA GASTROINTESTINAL DIAGNOSTIC AND THERAPEUTIC CENTER-METAIRIE |
| Practice Address |
3333 Kingman St Suite 202 Metairie LA 70006-4236 |
| Mailing Address |
Po Box 121 Marrero LA 70073-0121 |
| Practice Telephone | 5048853345 |
| Practice Fax Number | 5048853349 |
| Mailing Telephone | 5048853345 |
| Mailing Fax Number | 5048853349 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | PHILLIP A CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
149 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | P00442669 | 01 |
| LA | 1182915 | 05 |
| Other Name | Type Code |
|---|---|
| MGA Gastrointestinal Diagnostic and Therapeutic Center-Metairie | Doing Business As Name - Organization |
| Street Address |
3333 KINGMAN ST SUITE 202 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821014473 | Mga Gastrointestinal Diagnostic & Therapeutic-metairie | Clinic/Center | 3333 Kingman St, 202, Metairie, LA 70006-4236 | 2006-07-15 |
| 1538344486 | Catherine F. Kirkwood | Audiologist | 3333 Kingman St, Suite 205, Metairie, LA 70006-4236 | 2008-01-09 |
| 1013192558 | Audiphone Hearing Instruments | Hearing Aid Equipment | 3333 Kingman St, Suite 205, Metairie, LA 70006-4236 | 2008-01-03 |
| 1508995093 | Russell Jeffrey Cresson | Dentist | 3333 Kingman St, Suite 200, Metairie, LA 70006-4236 | 2007-03-02 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512734 | Ssl Endoscopy Center LLC | Clinic/Center | 3100 Galleria Dr Ste 305, Metairie, LA 70001-2196 | 2020-06-16 |
| 1427559046 | Ambulatory Care Specialists of New Orleans | Clinic/Center | 2520 Harvard Ave Ste 2a, Metairie, LA 70001 | 2018-02-28 |
| 1437419660 | Advanced Surgery Center of Metairie LLC | Clinic/Center | 720 Veterans Blvd, Suite 100, Metairie, LA 70005-2840 | 2012-05-22 |
| 1548233794 | Metairie Ophthalmology Asc LLC | Clinic/Center | 3900 Veterans Memorial Blvd, Suite 100, Metairie, LA 70002-5634 | 2006-02-08 |
| 1992788772 | East Jefferson Ambulatory Surgery Center | Clinic/Center | 4320 Houma Blvd, 5th Floor, Metairie, LA 70006-2973 | 2005-11-25 |
| 1093718157 | Hand Surgery Center of Louisiana Lp | Clinic/Center | 3434 Houma Blvd, Ste 300, Metairie, LA 70006-4279 | 2005-05-23 |
| 1508209743 | Crescent View Surgery Center, LLC | Clinic/Center | 3434 Houma Blvd, Suite 300, Metairie, LA 70006-4200 | 2013-04-08 |
| 1528369972 | Insight Group, LLC | Clinic/Center | 1207 N Causeway Blvd, Metairie, LA 70001-4129 | 2010-11-16 |
| 1972770022 | Outpatient Eye Surgery Center | Clinic/Center | 4324 Veterans Memorial Blvd, Suite 101, Metairie, LA 70006-5445 | 2008-05-08 |
| 1760658256 | Harvard Surgery Center LLC | Clinic/Center | 2520 Harvard Ave, Suite 2a, Metairie, LA 70001 | 2008-05-05 |
| 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.