Healthcare Provider Details
I. General information
NPI: 1942223888
Provider Name (Legal Business Name): EDWARD GREGORY HELM MD, MHA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2006
Last Update Date: 10/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2820 NAPOLEON AVE SUITE 700
NEW ORLEANS LA
70115-6969
US
IV. Provider business mailing address
1340 POYDRAS ST SUITE 1640
NEW ORLEANS LA
70112-1221
US
V. Phone/Fax
- Phone: 504-412-1517
- Fax: 504-412-1518
- Phone: 504-412-1835
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| License Number | 04369R |
| License Number State | LA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 04369R |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: