Healthcare Provider Details

I. General information

NPI: 1982822433
Provider Name (Legal Business Name): PEDIATRIC ASSOCIATES OF NEW ORLEANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4511 DOWNMAN RD
NEW ORLEANS LA
70126-3716
US

IV. Provider business mailing address

4511 DOWNMAN RD
NEW ORLEANS LA
70126-3716
US

V. Phone/Fax

Practice location:
  • Phone: 504-245-4000
  • Fax: 504-243-1005
Mailing address:
  • Phone: 504-245-4000
  • Fax: 504-243-1005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDA ANN DOUGHTY-WHITE
Title or Position: CEO
Credential: MEDICAL DOCTOR
Phone: 504-494-6180