1396052999 NPI number — ANESTHESIOLOGY AND PERIOPERATIVE MEDICAL CONSULTANTS, LLC

Table of content: (NPI 1396052999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396052999 NPI number — ANESTHESIOLOGY AND PERIOPERATIVE MEDICAL CONSULTANTS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANESTHESIOLOGY AND PERIOPERATIVE MEDICAL CONSULTANTS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
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Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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Provider Other Last Name:
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NPI Number Information

NPI Number:
1396052999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 INNWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COVINGTON
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70433-9123
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-893-2550
Provider Business Mailing Address Fax Number:
985-234-0628

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3117 PALM VISTA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
METAIRIE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70003-2563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-893-2550
Provider Business Practice Location Address Fax Number:
985-234-0628
Provider Enumeration Date:
09/03/2010

Additional Information

Authorized Official

Authorized Official Last Name:
RIGOL
Authorized Official First Name:
JASON
Authorized Official Middle Name:
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
985-893-2550

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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