SOUTH SHORE MEDICAL GROUP INC
NPI 1740591239
Family Medicine in Metairie, LA

Active since June 29, 2010
4515 SHORES DR, SUITE 100, METAIRIE, LA 70006(504) 885-0515(504) 885-0517 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About South Shore Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH SHORE MEDICAL GROUP INC (NPI 1740591239) is a healthcare organization registered as a family medicine in Metairie, Louisiana and active in the NPI registry since June 2010. The organization lists Andriy Matrofaylo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740591239
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH SHORE MEDICAL GROUP INC
Location Address4515 SHORES DR, SUITE 100Metairie, LA 70006-6808
Mailing Address4515 Shores Dr, Suite 100Metairie, LA 70006-6808 · (504) 885-0515 · Fax (504) 885-0517
Fax(504) 885-0517
Organization SubpartNo
Authorized OfficialAndriy MatrofayloCeo · (504) 885-0515
Enumeration DateJune 29, 2010
NPI 1740591239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4515 SHORES DR, Metairie, LA 70006

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
4515 SHORES DR, SUITE 102
METAIRIE, LA 70006
Family Medicine
4515 SHORES DR, SUITE 100
METAIRIE, LA 70006
Clinic/Center (Rehabilitation)
4515 SHORES DR
METAIRIE, LA 70006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740591239, enumerated as an "organization" on June 29, 2010.

The provider is located at 4515 SHORES DR SUITE 100 METAIRIE, LA 70006 and the phone number is (504) 885-0515.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.