OrganizationActive
Jefferson Pediatric Clinic
NPI 1972642197 · Pediatrics Physician · Marrero, LA
Jefferson Pediatric Clinic is a Pediatrics Physician organization in Marrero, LA (NPI 1972642197).
Provider details
- NPI number
- 1972642197
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Scotty Oubre, Office Assistant(504) 349-6813
- License
- 06128R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Medical Center Blvd
Suite N-813
Marrero, LA 70072-3151
Phone: (504) 349-6813
Fax: (504) 349-6832
Street-level locationGet directions
Mailing address
1111 Medical Center Blvd
Marrero, LA 70072-3151
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2008-06-17
Frequently asked questions
- What is Jefferson Pediatric Clinic's NPI number?
- Jefferson Pediatric Clinic's National Provider Identifier (NPI) is 1972642197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Pediatric Clinic?
- Jefferson Pediatric Clinic is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jefferson Pediatric Clinic located?
- Jefferson Pediatric Clinic's practice location on file with NPPES is 1111 Medical Center Blvd, Marrero, LA 70072-3151.
- What is Jefferson Pediatric Clinic's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Pediatric Clinic is (504) 349-6813.
- Who is the authorized official for Jefferson Pediatric Clinic?
- The authorized official listed on Jefferson Pediatric Clinic's NPPES record is Scotty Oubre, Office Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Pediatric Clinic's NPI active?
- Yes — Jefferson Pediatric Clinic's NPI (1972642197) is active in the NPPES registry as of the last update on 2008-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.