MEDICARE: JANUS MEDICAL GROUP

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
2	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1205934460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANUS MEDICAL GROUP

Provider Business Mailing Address
First Line	:	PO BOX 19006
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70179-0006
Country	:	US
Telephone Number	:	504-483-7112
Fax Number	:	504-483-7116

Provider Business Practice Location Address
First Line	:	1215 N BROAD ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-3302
Country	:	US
Telephone Number	:	504-483-7112
Fax Number	:	504-483-7116

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CAROLYN L JASMIN
Credential	:
Telephone Number	:	504-483-7112

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	09/11/2025

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Directions to “JANUS MEDICAL GROUP ” Practice Location

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