MEDICARE: AZALEA MEDICAL, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251T00000X	PACE Provider Organization	201310	FL
2	207Q00000X	Family Medicine Physician	201310	LA

General Provider Information

NPI Number	:	1942629589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AZALEA MEDICAL, L.L.C.

Provider Business Mailing Address
First Line	:	3305 METAIRIE RD.
Second Line	:	STE. 1
City	:	METAIRIE
State	:	LA
Zip	:	70001
Country	:	US
Telephone Number	:	504-434-2330
Fax Number	:	504-885-0820

Provider Business Practice Location Address
First Line	:	3305 METAIRIE RD.
Second Line	:	STE. 1
City	:	METAIRIE
State	:	LA
Zip	:	70001
Country	:	US
Telephone Number	:	504-434-2330
Fax Number	:	504-885-0820

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHARINE J. ROSE
Credential	:	M.D.
Telephone Number	:	504-434-2330

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	02/28/2019

Similar Medicare Providers

1740145457 — CORWIN BASS
Practice Location Address:

2612 METAIRIE RD
METAIRIE, LA
70001-5426

Practice Phone: 888-880-9270
Practice Fax:

1912860867 — JEVON BROWN
Practice Location Address:

2610 METAIRIE RD
METAIRIE, LA
70001-5426

Practice Phone: 504-232-0806
Practice Fax:

1922960228 — MS. SYDNEY TEAL RORISON
Practice Location Address:

2612 METAIRIE RD
METAIRIE, LA
70001-5426

Practice Phone: 888-880-9270
Practice Fax:

1831935279 — MEDMEAL DIRECT, LLC
Practice Location Address:

1 GALLERIA BLVD , SUITE 710C
METAIRIE, LA
70001

Practice Phone: 504-372-0266
Practice Fax: 504-389-1019

1891658225 — BRIDGETTE MARIE KNOWER CCP, MHA
Practice Location Address:

3004 SAINT RENE ST
METAIRIE, LA
70001-4231

Practice Phone: 504-723-6207
Practice Fax:

1528921806 — RONSHEKA TERRELL
Practice Location Address:

2400 EDENBORN AVE
METAIRIE, LA
70001-1817

Practice Phone: 504-831-6561
Practice Fax:

Directions to “AZALEA MEDICAL, L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.