1265432926 NPI number — DR. BARBARA SCHUMANN BOPP M.D.

Table of content: DR. BARBARA SCHUMANN BOPP M.D. (NPI 1265432926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265432926 NPI number — DR. BARBARA SCHUMANN BOPP M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOPP
Provider First Name:
BARBARA
Provider Middle Name:
SCHUMANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1265432926
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3421 N CAUSEWAY BLVD
Provider Second Line Business Mailing Address:
STE 102
Provider Business Mailing Address City Name:
METAIRIE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70002-3711
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-455-9933
Provider Business Mailing Address Fax Number:
504-888-8221

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3901 HOUMA BLVD
Provider Second Line Business Practice Location Address:
PLAZA II SUITE 410
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70006-2930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-455-9933
Provider Business Practice Location Address Fax Number:
504-888-8221
Provider Enumeration Date:
07/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  L#019194 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1394181 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1197921 . This is a "CIGNA INDIVIDUAL #" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".
  • Identifier: 795641 . This is a "HIGHMARK BCBS #" identifier , issued by the state of ( LA ) . This identifiers is of the category "OTHER".




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