Healthcare Provider Details

I. General information

NPI: 1619184371
Provider Name (Legal Business Name): JOSEPH M ZAVATSKY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 SEVERN AVE STE 8
METAIRIE LA
70002-3446
US

IV. Provider business mailing address

3535 SEVERN AVE STE 8
METAIRIE LA
70002-3446
US

V. Phone/Fax

Practice location:
  • Phone: 855-752-2225
  • Fax: 800-793-3305
Mailing address:
  • Phone: 855-752-2225
  • Fax: 800-793-3305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME109014
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberME109014
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD.202442
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: