| Christopher Blackstock, MD, PHD | |
|
120 Ochsner Blvd, Gretna, LA 70056-5255 | |
| (504) 595-8020 | |
| (504) 391-8707 |
| Full Name | Christopher Blackstock |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 120 Ochsner Blvd, Gretna, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235665308 | NPI | - | NPPES |
| MT213385 | Other | PA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | MT213385 (Pennsylvania) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 333584 (Louisiana) | Primary |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Blackstock, MD, PHD 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Christopher Blackstock, MD, PHD 120 Ochsner Blvd, Gretna, LA 70056-5255 Ph: (504) 595-8020 |
Casey Lynn Duvall, MD Surgery Medicare: Medicare Enrolled Practice Location: 308 Sugarpine Dr, Gretna, LA 70056 Phone: 504-494-1044 | |
Bruce Seymour Torrance Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Highway, Gretna, LA 70056 Phone: 504-391-5275 | |
Jeannie Lan Nguyen, Surgery Medicare: Medicare Enrolled Practice Location: 120 Ochsner Blvd, Gretna, LA 70056 Phone: 504-595-8020 | |
Thomas Archer Boos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 120 Meadowcrest Street, Suite 450, Gretna, LA 70056 Phone: 504-391-7660 Fax: 504-393-2407 | |
Joshua D Parks, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Gretna, LA 70056 Phone: 504-391-5275 | |
Emery August Minnard, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Meadowcrest St, Ste 450, Gretna, LA 70056 Phone: 504-391-7660 Fax: 504-393-2407 |