1538214069 NPI number — DR. ATWOOD LUMBERD RICE III M.D.

Table of content: DR. ATWOOD LUMBERD RICE III M.D. (NPI 1538214069)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538214069 NPI number — DR. ATWOOD LUMBERD RICE III M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICE
Provider First Name:
ATWOOD
Provider Middle Name:
LUMBERD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
III
Provider Credential Text:
M.D.
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:
1538214069
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220 PHILIP ST
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:
70130-5717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-962-4153
Provider Business Mailing Address Fax Number:
337-988-9958

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
240 HIGHLAND DRIVE
Provider Second Line Business Practice Location Address:
SABINE MEDICAL CENTER
Provider Business Practice Location Address City Name:
MANY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71449-3718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-962-4153
Provider Business Practice Location Address Fax Number:
337-988-9958
Provider Enumeration Date:
01/24/2007

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: 207P00000X , with the licence number:  014311 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 209800000X , with the licence number: 014311 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1374792 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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