MEDICARE: ARCADIA SPINE AND PAIN LLC

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1275331944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARCADIA SPINE AND PAIN LLC

Provider Business Mailing Address
First Line	:	4621 FOLSE DR
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70006-1230
Country	:	US
Telephone Number	:	504-949-0450
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 22ND ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4918
Country	:	US
Telephone Number	:	504-949-0450
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ERIC STOCKWELL
Credential	:	MD
Telephone Number	:	504-949-0450

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	07/02/2025

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Directions to “ARCADIA SPINE AND PAIN LLC ” Practice Location

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