WEST JEFFERSON PHYSICIAN SERVICES NPI 1669549283

NPI Information

  • NPI: 1669549283
  • Provider Name: WEST JEFFERSON PHYSICIAN SERVICES
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Organization
  • :
  • Address: 1111 MEDICAL CENTER BLVD
    SUITE S650
    MARRERO, LA
    ZIP 70072
  • Phone: (504) 349-6504

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NPI Details

WEST JEFFERSON PHYSICIAN SERVICES is a pediatric allergy/immunology pediatrics in Marrero, LA. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. WEST JEFFERSON PHYSICIAN SERVICES NPI is 1669549283. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1111 MEDICAL CENTER BLVD
SUITE S650
MARRERO, LA
ZIP 70072-151
Phone: (504) 349-6504
Fax: (504) 349-6528

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 enumeration date for this NPI number is 11/29/2006 and was last updated on 9/11/2025.

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
12080P0206XPediatricsPediatric GastroenterologyNo
22080P0214XPediatricsPediatric PulmonologyNo
32080P0201XPediatricsPediatric Allergy/ImmunologyYes

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: 11/21/2025

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