| Jeffery David Porth, | |
|
2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | |
| (504) 391-5157 | |
| Not Available |
| Full Name | Jeffery David Porth |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 2500 Belle Chasse Hwy, Terrytown, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932284627 | NPI | - | NPPES |
| 050061428 | Other | UT | RAILROAD MEDICARE |
| D2559 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 359456-1205 (Utah) | Secondary |
| 207L00000X | Anesthesiology | MD.019129 (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 |
|---|---|
| Jeffery David Porth, 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Jeffery David Porth, 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 Ph: (504) 391-5157 |
Hieu Chi Hoang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Terrytown, LA 70056 Phone: 504-331-5128 | |
Narinder Gupta, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 Terry Pkwy, Terrytown, LA 70056 Phone: 504-362-7246 Fax: 504-362-1364 | |
Dr. Dan Leach, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Terrytown, LA 70056 Phone: 504-391-5157 Fax: 504-391-5633 | |
Jason Lee Park, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Terrytown, LA 70056 Phone: 504-391-5157 | |
Satish Vembu, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2500 Belle Chasse Hwy, Terrytown, LA 70056 Phone: 504-391-5128 |