West Jefferson Physician Services
Pediatric Allergy-Immunology
West Jefferson Physician Services is a Marrero, Louisiana based Pediatric center with medical specialization in
Pediatric Allergy-Immunology. West Jefferson Physician Services is doing business as
Pediatric Specialty.
It is located at
1111 Medical Center Blvd, Suite S650, Marrero, Louisiana - 70072-3151. They can be contacted on phone at
504-349-6504 and fax number 504-349-6528.
NPI number (Unique professional ID) for West Jefferson Physician Services is
1669549283 which was assigned by NPPES on 29 Nov, 2006 and it was last updated on 22 Aug, 2020.
West Jefferson Physician Services specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
West Jefferson Physician Services basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | West Jefferson Physician Services |
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| Other Name : | Pediatric Specialty |
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Business Address:
West Jefferson Physician Services address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1111 Medical Center Blvd, Suite S650
Marrero, LA, 70072-3151
United States |
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| Phone Number : | 504-349-6504 |
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| Fax Number : | 504-349-6528 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1669549283 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 29 Nov, 2006 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Heidia Gwinn |
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| Official Title or Position : | CREDENTIALING COORD. |
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| Phone Number : | 504-349-1297 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for West Jefferson Physician Services are as mentioned. Primary taxonomy code for West Jefferson Physician Services is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | No | | |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | | |
| 2080P0214X | Pediatrics Pediatric Pulmonology | No | | |
Legacy Identifiers:
Other legacy medical identifiers of West Jefferson Physician Services such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1942545 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1111 Medical Center Blvd, Suite S650
Marrero, LA, 70072-3151
United States |
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| Phone Number : | 504-349-6504 |
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| Fax Number : | 504-349-6528 |
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Business Location:
Patients can refer following map for directions to
West Jefferson Physician Services practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.