1326090077 NPI number — SOUTHERN ORTHOPAEDIC SPECIALISTS APMC

Table of content: (NPI 1326090077)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326090077 NPI number — SOUTHERN ORTHOPAEDIC SPECIALISTS APMC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN ORTHOPAEDIC SPECIALISTS APMC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326090077
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/03/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2731 NAPOLEON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70115-6913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-897-6351
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2731 NAPOLEON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115-6913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-897-6351
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HYMEL
Authorized Official First Name:
VIRGNIA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
504-897-6351

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1205828688 . This is a "DR CLAUDE S WILLIAMS IV" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1588893390 . This is a "LARA HEYLIGER PT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: CD7722 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1124495676 . This is a "MATTHEW MADERE DPT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1326011172 . This is a "CHRISTOPHER CRONIN DPT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1497747380 . This is a "DR CHAD W MILLET" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1750727772 . This is a "WILSON MARSH PERRY DPT" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1518959196 . This is a "DR TIMOTHY P FINNEY" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1750762175 . This is a "JONATHAN FINNEY MD" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1104021526 . This is a "DR. ANDREW G TODD" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1295938892 . This is a "DR. MICHAEL J MCNULTY" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1396737771 . This is a "DR GREGOR J HOFFMAN" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 1700817673 . This is a "DR. ROGER FIELD OGDEN" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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