MEDICARE: ERIC STOCKWELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	321118	LA

General Provider Information

NPI Number	:	1164926911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC STOCKWELL MD

Provider Business Mailing Address
First Line	:	3001 22ND ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4918
Country	:	US
Telephone Number	:	504-949-0450
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 22ND ST
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-4918
Country	:	US
Telephone Number	:	504-949-0450
Fax Number	:	504-290-1146

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2018
Last Update Date	:	08/06/2025

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Directions to “ ERIC STOCKWELL MD” Practice Location

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