Pediatric Specialty
LBN: West Jefferson Physician Services
Pediatric Specialty is an health care organization with primary practice located at 1111 Medical Center Blvd Suite S650, Marrero LA 70072-3151. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is the primary health care specialty.
West Jefferson Physician Services can be contacted via phone (504) 349-6504, or through Gwinn, Heidi A via phone (504) 349-1297.
Contact Information
Primary practice address
1111 Medical Center Blvd Suite S650
Marrero LA 70072-3151
Phone: (504) 349-6504
Fax: (504) 349-6528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | ||
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ||
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X |
Profile Details
| NPI number | 1669549283 |
|---|---|
| LBN Legal business name | West Jefferson Physician Services |
| DBA Doing business as | Pediatric Specialty |
| Authorized official | Gwinn, Heidi A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669549283 | NPPES |
| Louisiana | MEDICAID | 1942545 |
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