MEDICARE: OCHSNER CLINIC LLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1043983513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCHSNER CLINIC LLC

Provider Business Mailing Address
First Line	:	1514 JEFFERSON HWY
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70121-2429
Country	:	US
Telephone Number	:	504-842-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 ARLINGTON CREEK CENTRE BLVD STE E
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70820-6018
Country	:	US
Telephone Number	:	225-709-2366
Fax Number	:	225-709-2367

Authorized Official
Title or Position	:	DIRECTOR
Name	:	EDUARDO BENITEZ
Credential	:
Telephone Number	:	504-430-0025

Provider Enumeration Date	:	07/29/2021
Last Update Date	:	07/29/2021

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