Healthcare Provider Details

I. General information

NPI: 1689722340
Provider Name (Legal Business Name): CRESCENT CITY PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 05/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 PRYTANIA ST SUITE 35
NEW ORLEANS LA
70115-3672
US

IV. Provider business mailing address

3600 PRYTANIA ST SUITE 35
NEW ORLEANS LA
70115-3672
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-8315
  • Fax: 504-891-9862
Mailing address:
  • Phone: 504-897-8315
  • Fax: 504-891-9862

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateLA
# 6
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number StateLA
# 7
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateLA

VIII. Authorized Official

Name: MRS. JANET KRANE
Title or Position: DIR OF OPERATIONS
Credential:
Phone: 504-897-7794