MEDICARE: NORMAN JOSEPH DEUMITE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	015649	LA
2	207RC0000X	Cardiovascular Disease Physician	015649	LA
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	15649	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2500238	OTHER	LA	UNITED HEALTHCARE
3	060021705	OTHER	LA	PALMETTO GBA
4	232752	OTHER	LA	WELLCARE
5	4211628	OTHER	LA	AETNA

General Provider Information

NPI Number	:	1073515011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN JOSEPH DEUMITE MD

Provider Business Mailing Address
First Line	:	5959 S SHERWOOD FOREST BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-6038
Country	:	US
Telephone Number	:	225-526-0001
Fax Number	:	225-765-9196

Provider Business Practice Location Address
First Line	:	7777 HENNESSY BLVD STE 1000
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70808-4370
Country	:	US
Telephone Number	:	225-767-3900
Fax Number	:	225-766-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	01/03/2019

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Directions to “ NORMAN JOSEPH DEUMITE MD” Practice Location

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