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West Jefferson Physician Services

Pediatric Allergy/Immunology Physician in Marrero, LA · enumerated 2006 · authorized official Heidi Gwinn, Credentialing Coord..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669549283

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Registry record

Entity type Organization (Type 2)
Legal business name West Jefferson Physician Services
Other name <Unavail>
Practice address 1111 Medical Center Blvd, Suite S650, Marrero, LA, 70072
Fax (504) 349-6528
Enumeration date Nov 29, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

2080P0201X Pediatric Allergy/Immunology Physician Allopathic & Osteopathic Physicians Primary
2080P0206X Pediatric Gastroenterology Physician Allopathic & Osteopathic Physicians Secondary
2080P0214X Pediatric Pulmonology Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Heidi Gwinn
Title Credentialing Coord.

Other identifiers

Identifier Type State Issuer
1942545 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is West Jefferson Physician Services?
West Jefferson Physician Services is registered in NPPES as a Pediatric Allergy/Immunology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.