MEDICARE: THE RHEUMATOLOGY GROUP, LLC

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	207RR0500X	Rheumatology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447228861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RHEUMATOLOGY GROUP, LLC

Provider Business Mailing Address
First Line	:	2633 NAPOLEON AVE
Second Line	:	SUITE #530
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6357
Country	:	US
Telephone Number	:	504-899-1120
Fax Number	:	504-899-2137

Provider Business Practice Location Address
First Line	:	2633 NAPOLEON AVE
Second Line	:	SUITE #530
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-6357
Country	:	US
Telephone Number	:	504-899-1120
Fax Number	:	504-899-2137

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MERLIN R WILSON
Credential	:	MD
Telephone Number	:	504-899-1120

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	04/16/2014

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Directions to “THE RHEUMATOLOGY GROUP, LLC ” Practice Location

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