WEST JEFFERSON PHYSICIAN SERVICES NPI 1053486043

NPI Information

  • NPI: 1053486043
  • Provider Name: WEST JEFFERSON PHYSICIAN SERVICES
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: FAMILY DOCTORS
  • CLIA Number: 19D0906941
  • Address: 1111 MEDICAL CENTER BLVD
    SUITE S850
    MARRERO, LA
    ZIP 70072
  • Phone: (504) 349-6450

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NPI Details

WEST JEFFERSON PHYSICIAN SERVICES is an internal medicine in Marrero, LA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WEST JEFFERSON PHYSICIAN SERVICES NPI is 1053486043. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Doctors.

The provider's business location address is:

1111 MEDICAL CENTER BLVD
SUITE S850
MARRERO, LA
ZIP 70072-151
Phone: (504) 349-6450
Fax: (504) 349-6454

The provider's authorized official is Heidi A Gwinn .
The authorized official title is Credentialing Coord. and has the following contact phone number (504) 349-1297.

The CLIA number assigned to this NPI record is 19D0906941 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11942545MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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