| Ambulatory Medical Group | |
|
5646 Read Blvd Ste 380 New Orleans LA 70127-3148 | |
| (504) 518-5822 | |
| (504) 518-6378 |
| Full Name | Ambulatory Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 5646 Read Blvd Ste 380, New Orleans, Louisiana |
| Authorized Official Name and Position | Ronald C Mclendon (OWNER) |
| Authorized Official Contact | 5046155981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambulatory Medical Group 1500 Lafayette St Ste 141 Gretna LA 70053-5758 Ph: (504) 510-5511 | Ambulatory Medical Group 5646 Read Blvd Ste 380 New Orleans LA 70127-3148 Ph: (504) 518-5822 |
| NPI Number | 1871265694 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 09/30/2021 |
| Medicare PECOS PAC ID | 4789078957 |
|---|---|
| Medicare Enrollment ID | O20220304000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871265694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Joseph B Boucree |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730110263 PECOS PAC ID: 1850388646 Enrollment ID: I20040426000856 |
| Provider Name | Ronald C Mclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013151091 PECOS PAC ID: 9537341987 Enrollment ID: I20110307001005 |
| Provider Name | Cornel Rogers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750605770 PECOS PAC ID: 5092039032 Enrollment ID: I20150121001855 |
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