Healthcare Provider Details

I. General information

NPI: 1194995936
Provider Name (Legal Business Name): JOHN SCRIBNER SCHIEFFELIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 01/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 LASALLE ST HC-57
NEW ORLEANS LA
70112-2615
US

IV. Provider business mailing address

275 LASALLE ST HC-57
NEW ORLEANS LA
70112-2615
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-5030
  • Fax: 504-988-7144
Mailing address:
  • Phone: 504-988-5030
  • Fax: 504-988-7144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License Number025654
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number025654
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: