MEDICARE: PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1427464106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY STE 120
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14601 OLD GENTILLY RD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70129-2347
Country	:	US
Telephone Number	:	504-254-8506
Fax Number	:	504-254-8475

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD WILLIAM SCHWARTZ
Credential	:
Telephone Number	:	844-407-7557

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	02/04/2026

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1801415385 — JASMINE NHI BUI NURSE PRACTITIONER
Practice Location Address:

14601 OLD GENTILLY RD
NEW ORLEANS, LA
70129-2347

Practice Phone: 504-254-8506
Practice Fax:

1558079657 — DR. CLAIRE PRIVAT PSYD
Practice Location Address:

2527 AUBRY ST
NEW ORLEANS, LA
70119-2347

Practice Phone: 337-349-0640
Practice Fax:

1801878822 — DR. SALLY J TICE PH.D.
Practice Location Address:

211 TALL OAK DR
NEW CUMBERLAND, PA
17070-2347

Practice Phone: 717-737-5200
Practice Fax: 717-737-5200

1386615847 — ROBIN BRADY MEAD LCSW
Practice Location Address:

270 LAFAYETTE ST , SUITE 804
NEW YORK, NY
10012-2347

Practice Phone: 917-817-8021
Practice Fax:

1164759908 — TRACY VEGA M.S., OTR/L
Practice Location Address:

1981 HIDDEN SPRINGS DR
NEW PORT RICHEY, FL
34655-2347

Practice Phone: 305-283-5050
Practice Fax:

Directions to “PREMISE HEALTH OF LOUISIANA MEDICAL PROFESSIONAL MEDICAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.