JEFFERSON PEDIATRIC CLINIC
NPI 1972642197
Pediatrics in Marrero, LA
NPI Status: Active since February 05, 2007
Contact Information
1111 MEDICAL CENTER BLVD
SUITE N-813
MARRERO, LA
ZIP 70072
Phone: (504) 349-6813
Fax: (504) 349-6832
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 19D0457919
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-25-2026
About JEFFERSON PEDIATRIC CLINIC
This page provides the complete NPI Profile along with additional information for Jefferson Pediatric Clinic, a pediatrician established in Marrero, Louisiana operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1972642197 assigned on February 2007. The practitioner's primary taxonomy code is 208000000X with license number 06128R (LA). The provider is registered as an organization and their NPI record was last updated 18 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 authorized official of this NPI record is Scotty James Oubre (Office Assistant)
- NPI
- 1972642197
- Provider Name
- JEFFERSON PEDIATRIC CLINIC
- Entity Type
- Organization
- Location Address
- 1111 MEDICAL CENTER BLVD SUITE N-813 MARRERO, LA 70072
- Location Phone
- (504) 349-6813
- Location Fax
- (504) 349-6832
- Mailing Address
- 1111 MEDICAL CENTER BLVD SUITE N-813 MARRERO, LA 70072
- Mailing Phone
- (504) 349-6813
- Mailing Fax
- (504) 349-6832
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-05-2007
- Last Update Date
- 06-17-2008
- Code Navigator
A pediatrician like Jefferson Pediatric Clinic 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
- License No.
- 06128R
- License State
- LA
- 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 MULTIPLE 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D0457919
- Facility Type
- Physician Office
- Certificate Effective Date
- October 26, 2024
- Certificate Expiration Date
- October 25, 2026
- Laboratory Director
- CARLOS A. TRUJILLO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Jefferson Pediatric Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1972642197, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. 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
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972642197, enumerated as an "organization" on February 05, 2007.
The provider is located at 1111 MEDICAL CENTER BLVD SUITE N-813 MARRERO, LA 70072 and the phone number is (504) 349-6813.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana and HMO. Please consult your insurance carrier or call the provider to verify.
