Healthcare Provider Details

I. General information

NPI: 1083682009
Provider Name (Legal Business Name): JOSEPH F BUELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 TULANE AVE HC-20
NEW ORLEANS LA
70112-2600
US

IV. Provider business mailing address

50 SCHENCK PKWY PROVIDER ENROLLMENT
ASHEVILLE NC
28803-3499
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5110
  • Fax: 504-988-0644
Mailing address:
  • Phone: 828-651-6427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number203586
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number203586
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: