Provider Demographics
NPI:1306036660
Name:J. COLLER OCHSNER, M.D., LLC
Entity Type:Organization
Organization Name:J. COLLER OCHSNER, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:J.
Authorized Official - Middle Name:COLLER
Authorized Official - Last Name:OCHSNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-831-6633
Mailing Address - Street 1:2323 METAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-5561
Mailing Address - Country:US
Mailing Address - Phone:504-831-6633
Mailing Address - Fax:504-831-6654
Practice Address - Street 1:2323 METAIRIE RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-5561
Practice Address - Country:US
Practice Address - Phone:504-831-6633
Practice Address - Fax:504-831-6654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD015824174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1342238Medicaid
LA5CK96Medicare PIN