CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION – NPI #1962712521
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION is a provider located in NEW ORLEANS, LA. NPPES has assigned the NPI number 1962712521 to CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION on October 18, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 8 years ago on May 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION below.

NPI Profile for
CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

NPI Number
1962712521
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION
Primary location
298 HENRY CLAY AVE
NEW ORLEANS, LA 70118-5720
Phone: (504) 896-9827 Fax: (504) 894-5370
Mailing address
Same as primary location
Organization Subpart
Yes - CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION is subpart of another organization.
Authorized Official
MATT GRONINGER
EXECUTIVE DIRECTOR
Phone: (504) 894-6771
Updated
Identifiers

Identifiers for CHILDREN'S HOSPITAL MEDICAL PRACTICE CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1946711
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)
LA 256

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.