OrganizationActive
Children'S Hospital Medical Practice Corporation
NPI 1962712521 · Adolescent Medicine (Family Medicine) Physician · New Orleans, LA
Provider details
- NPI number
- 1962712521
- Entity type
- Organization
- Primary specialty
- Adolescent Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Children'S Hospital
- Authorized official
- Matt Groninger, Executive Director
- License
- 256 (LA)
Practice location
298 Henry Clay Ave
New Orleans, LA 70118-5720
Phone: (504) 896-9827
Fax: (504) 894-5370
Mailing address
298 Henry Clay Ave
New Orleans, LA 70118-5720
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2018-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.