MAGNOLIA PEDIATRICS
NPI 1477611556
Specialist in Prairieville, LA
NPI Status: Active since December 04, 2006
Contact Information
17038 COMMERCE CENTRE DR
PRAIRIEVILLE, LA
ZIP 70769
Phone: (225) 744-4484
Fax: (225) 677-9359
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 19D1037741
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-02-2027
About MAGNOLIA PEDIATRICS
This page provides the complete NPI Profile along with additional information for Magnolia Pediatrics, a provider established in Prairieville, Louisiana operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1477611556 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X with license number 045939 (LA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Lisa Hamner (Office Manager)
- NPI
- 1477611556
- Provider Name
- MAGNOLIA PEDIATRICS
- Entity Type
- Organization
- Location Address
- 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769
- Location Phone
- (225) 744-4484
- Location Fax
- (225) 677-9359
- Mailing Address
- 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769
- Mailing Phone
- (225) 744-4484
- Mailing Fax
- (225) 677-9359
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2006
- Last Update Date
- 11-06-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 045939
- License State
- LA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
- Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3200 - PPO
- Blue Connect 80/60 $3200 (L) - POS
- Blue Connect 80/60 $3200 (N) - POS
- Blue Connect 80/60 $3200 (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) - POS
- Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D1037741
- Facility Type
- Physician Office
- Certificate Effective Date
- March 03, 2025
- Certificate Expiration Date
- March 02, 2027
- Laboratory Director
- SAMATHA K. GULINO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MAGNOLIA PEDIATRICS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 7 | 7 | 6 | 1 | 1 | 5 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 12 | 1 | 2 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 1 + 2 + 1 + 2 + 5 + 1 + 0 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1477611556 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245628650 | MRS. ABBY SCHEXNAYDER ANDREWS MSN- APRN Individual | Nurse Practitioner (Pediatrics) | 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769 (225) 744-4484 |
| 1013986520 | DR. SAMANTHA GULINO M.D. Individual | Specialist | 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769 (225) 744-4484 |
| 1942279450 | DR. ASHLI WEST M.D. Individual | Specialist | 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769 (225) 744-4484 |
| 1790954451 | ANDREA MCDONALD OCMOND M.D. Individual | Pediatrics | 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769 (225) 744-4484 |
| 1467846667 | MEGHAN VIAL LOUQUE MD Individual | Pediatrics | 17038 COMMERCE CENTRE DR PRAIRIEVILLE, LA 70769 (225) 744-4484 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477611556, enumerated in the NPI registry as an "organization" on December 04, 2006
The provider is located at 17038 Commerce Centre Dr Prairieville, La 70769 and the phone number is (225) 744-4484
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 19D1037741 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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