EAST JEFFERSON AMBULATORY SURGERY CENTER (NPI# 1992788772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992788772 |
| Entity Type | Organization |
| Organization Name | EAST JEFFERSON AMBULATORY SURGERY CENTER |
| Practice Address |
4320 Houma Blvd 5th Floor Metairie LA 70006-2973 |
| Practice Telephone | 5042742200 |
| Practice Fax Number | 5042742201 |
| Mailing Telephone | 5042742200 |
| Mailing Fax Number | 5042742201 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ERIC R. GEORGE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5044542191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
LA | Ambulatory Health Care Facilities |
| Street Address |
4320 HOUMA BLVD 5TH FLOOR |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740580521 | Brenda Ann Aranda | Social Worker | 4320 Houma Blvd, Room 753, Metairie, LA 70006-2973 | 2010-10-27 |
| 1588825160 | Robert Carl Mcmyne Jr. | Pain Medicine | 4320 Houma Blvd, Fl 6, Metairie, LA 70006-2961 | 2008-06-17 |
| 1528266509 | Luis Roberto Arencibia | Family Medicine | 4320 Houma Blvd, Suite 407, Metairie, LA 70006-2961 | 2007-07-11 |
| 1245263094 | Michael Angelo Valdes | Family Medicine | 4320 Houma Blvd, Suite 720, Metairie, LA 70006-2961 | 2006-07-07 |
| 1023087681 | Metairie Emergency Group, LLC | Emergency Medicine | 4320 Houma Blvd, Metairie, LA 70006-2973 | 2006-03-16 |
| 1639154743 | Joseph Crapanzano | Pain Medicine | 4320 Houma Blvd, Fl 6, Metairie, LA 70006-2961 | 2005-12-12 |
| 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 |
| 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 |
| 1134300080 | Metairie La Endoscopy Asc LLC | Clinic/Center | 3333 Kingman St, Suite 202, Metairie, LA 70006-4236 | 2007-11-20 |
| 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.