WEST JEFFERSON MEDICAL CENTER PEDIATRIC ER
NPI 1366517351
Pediatrics in Marrero, LA
NPI Status: Active since November 22, 2006
Contact Information
1101 MEDICAL CENTER BLVD
PEDIATRIC ER
MARRERO, LA
ZIP 70072
Phone: (504) 349-1555
Fax: (504) 349-1146
- Organization
- Pediatrics
- Accepts Insurance
About WEST JEFFERSON MEDICAL CENTER PEDIATRIC ER
This page provides the complete NPI Profile along with additional information for West Jefferson Medical Center Pediatric Er, a pediatrician established in Marrero, Louisiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1366517351 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as West Jefferson Medical Center Pediatric Er. The authorized official of this NPI record is Heidi A Gwinn (Credentialing Coord.)
- NPI
- 1366517351
- Provider Legal Name
- WJH PHYSICIAN SERVICES D/B/A WEST JEFFERSON PHYSICIANS SERVICES
- Other Organization Name
- WEST JEFFERSON MEDICAL CENTER PEDIATRIC ER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1101 MEDICAL CENTER BLVD PEDIATRIC ER MARRERO, LA 70072
- Location Phone
- (504) 349-1555
- Location Fax
- (504) 349-1146
- Mailing Address
- 1101 MEDICAL CENTER BLVD ATTN: HEIDI GWINN MARRERO, LA 70072
- Mailing Phone
- (504) 349-1555
- Mailing Fax
- (504) 349-1146
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-22-2006
- Last Update Date
- 02-12-2016
- Code Navigator
A pediatrician like West Jefferson Medical Center Pediatric Er is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
- Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
- Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR) - POS
- Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M) - POS
- Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible - POS
- Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible - POS
- Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible - POS
- Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR) - POS
- Precision Blue Copay (PCP) 60/40 $6000 Standardized (M) - POS
- Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR) - POS
- Precision Blue Copay (PCP) 75/55 $2000 Standardized (M) - POS
- Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Signature Blue Copay (PCP) 60/40 $6000 Standardized - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 447510 | MEDICARE PIN (08) | LA | |
| 1942545 | MEDICAID (05) | LA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366517351, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366517351, enumerated as an "organization" on November 22, 2006.
The provider is located at 1101 MEDICAL CENTER BLVD PEDIATRIC ER MARRERO, LA 70072 and the phone number is (504) 349-1555.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.
