Healthcare Provider Details

I. General information

NPI: 1417367137
Provider Name (Legal Business Name): PARISH ANESTHESIA OF EAST NEW ORLEANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2014
Last Update Date: 12/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5640 READ BLVD STE 200
NEW ORLEANS LA
70127-3126
US

IV. Provider business mailing address

5620 READ BLVD
NEW ORLEANS LA
70127-3106
US

V. Phone/Fax

Practice location:
  • Phone: 504-592-6600
  • Fax:
Mailing address:
  • Phone: 517-787-6440
  • Fax: 517-787-7365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TONY STEVE MARTIN
Title or Position: CEO
Credential:
Phone: 504-779-5515