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NPI Code Detail

MEDICARE: DR. EDWARD R KOFSKY MD

MEDICARE: DR. EDWARD R KOFSKY 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician1883911NY
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician0101250688VA
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician345306LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811978125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD R KOFSKY MD
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1000 OCHSNER BLVD
Second Line :
City : COVINGTON
State : LA
Zip : 70433-8107
Country : US
Telephone Number : 985-875-2736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 06/09/2025

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