MEDICARE: CHILDREN'S HOSPITAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	208000000X	Pediatrics Physician
3	2080A0000X	Pediatric Adolescent Medicine Physician
4	2080C0008X	Child Abuse Pediatrics Physician
5	2080N0001X	Neonatal-Perinatal Medicine Physician
6	363A00000X	Physician Assistant
7	363L00000X	Nurse Practitioner
8	174400000X	Specialist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306156138
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S HOSPITAL

Provider Business Mailing Address
First Line	:	200 HENRY CLAY AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-896-9511
Fax Number	:	504-896-2772

Provider Business Practice Location Address
First Line	:	200 HENRY CLAY AVE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5720
Country	:	US
Telephone Number	:	504-896-9511
Fax Number	:	504-896-2772

Authorized Official
Title or Position	:	CEO
Name	:	MR. LUCIO FRAGOSO
Credential	:
Telephone Number	:	504-896-9511

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	03/06/2025

Similar Medicare Providers

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Practice Location Address:

298 HENRY CLAY AVE
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1104819366 — CHILDREN'S HOSPITAL
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1316930365 — NEHA H MEHTA M.D.
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1669467809 — FRANK JUDE BISSANT MD
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200 HENRY CLAY AVE
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1801885892 — DR. LERON JEREMY FINGER MD
Practice Location Address:

200 HENRY CLAY AVE
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70118-5720

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1447224860 — DR. JAY K KOLLS MD
Practice Location Address:

200 HENRY CLAY AVE
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Practice Fax:

Directions to “CHILDREN'S HOSPITAL ” Practice Location

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