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NPI Code Detail

MEDICARE: JOHN N CEFALU MD

MEDICARE: JOHN N CEFALU 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
1207L00000XAnesthesiology Physician338490LA
2207LP2900XPain Medicine (Anesthesiology) Physician338490LA
3208VP0014XInterventional Pain Medicine PhysicianME157022FL
4208VP0014XInterventional Pain Medicine Physician338490LA

Other Identifiers

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

General Provider Information

NPI Number : 1659804979
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN N CEFALU MD
Provider Business Mailing Address
First Line : 8731 PARK PLAZA DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5682
Country : US
Telephone Number : 318-797-5848
Fax Number : 318-797-5844
Provider Business Practice Location Address
First Line : 8731 PARK PLAZA DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5682
Country : US
Telephone Number : 318-797-5848
Fax Number : 318-797-5844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/21/2025

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Directions to “ JOHN N CEFALU MD” Practice Location

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