Healthcare Provider Details

I. General information

NPI: 1265698195
Provider Name (Legal Business Name): MICHAEL THOMAS FRIEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2008
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1315 JEFFERSON HWY FL 1
NEW ORLEANS LA
70121-2406
US

IV. Provider business mailing address

1315 JEFFERSON HWY FL 1
NEW ORLEANS LA
70121-2406
US

V. Phone/Fax

Practice location:
  • Phone: 504-842-5338
  • Fax:
Mailing address:
  • Phone: 504-842-5338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License Number22511
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code2082S0105X
TaxonomySurgery of the Hand (Plastic Surgery) Physician
License Number22511
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number304799
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number22511
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: