Healthcare Provider Details

I. General information

NPI: 1326090077
Provider Name (Legal Business Name): SOUTHERN ORTHOPAEDIC SPECIALISTS APMC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2731 NAPOLEON AVE
NEW ORLEANS LA
70115-6913
US

IV. Provider business mailing address

2731 NAPOLEON AVE
NEW ORLEANS LA
70115-6913
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-6351
  • Fax:
Mailing address:
  • Phone: 504-897-6351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: VIRGNIA HYMEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 504-897-6351