1437104668 NPI number — JOSEPH R BIGGIO JR. MD

Table of content: JOSEPH R BIGGIO JR. MD (NPI 1437104668)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437104668 NPI number — JOSEPH R BIGGIO JR. MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIGGIO
Provider First Name:
JOSEPH
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1437104668
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/09/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1514 JEFFERSON HWY
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:
70121-2429
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-842-4000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 NAPOLEON AVE
Provider Second Line Business Practice Location Address:
4TH FLOOR
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70115-6914
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-842-4151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2006

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: 207VM0101X , with the licence number:  20987 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207VM0101X , with the licence number: 304375 , 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: 009951245 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009970445 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009970455 . This is a "AMERICAN BEHAVIORAL" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 102638 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 108314 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000029660 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051523108 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 09186861 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051523111 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000093930 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009951215 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009951235 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 009970465 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051521015 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051523109 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051524590 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051591131 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009951275 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051518073 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000029660 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".