Healthcare Provider Details

I. General information

NPI: 1952266140
Provider Name (Legal Business Name): NOCAPS PHYSICIAN GROUP, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2633 NAPOLEON AVE STE 912
NEW ORLEANS LA
70115-7406
US

IV. Provider business mailing address

2633 NAPOLEON AVE STE 912
NEW ORLEANS LA
70115-7406
US

V. Phone/Fax

Practice location:
  • Phone: 504-533-8848
  • Fax: 504-313-3776
Mailing address:
  • Phone: 504-533-8848
  • Fax: 504-313-3776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RUSSELL GERARD HENDRICK JR.
Title or Position: CO-OWNER
Credential: MD
Phone: 504-914-8230