MEDICARE: EXCELTH, INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103T00000X	Psychologist
3	104100000X	Social Worker
4	122300000X	Dentist
5	171M00000X	Case Manager/Care Coordinator
6	207K00000X	Allergy & Immunology Physician
7	207Q00000X	Family Medicine Physician
8	207R00000X	Internal Medicine Physician
9	208000000X	Pediatrics Physician
10	2084P0800X	Psychiatry Physician
11	208D00000X	General Practice Physician
12	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1699114991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCELTH, INCORPORATED

Provider Business Mailing Address
First Line	:	1515 POYDRAS ST
Second Line	:	SUITE 1070
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-3723
Country	:	US
Telephone Number	:	504-524-1210
Fax Number	:	504-524-1491

Provider Business Practice Location Address
First Line	:	9900 LAKE FOREST BLVD
Second Line	:	SUITE F
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-2609
Country	:	US
Telephone Number	:	504-524-1210
Fax Number	:	504-524-1491

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	MATILDA A TENNESSEE
Credential	:
Telephone Number	:	504-524-1210

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	01/22/2024

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:

1114196995 — DR. ANGELA E GREEN DO
Practice Location Address:

9900 LAKE FOREST BLVD STE F
NEW ORLEANS, LA
70127-2609

Practice Phone: 504-620-0500
Practice Fax:

1508161068 — ORLEANS FAMILY PRACTICE, LLC
Practice Location Address:

9970 LAKE FOREST BLVD
NEW ORLEANS, LA
70127-2609

Practice Phone: 504-208-8467
Practice Fax: 504-975-6047

1205275492 — EXCELTH, INCORPORATED
Practice Location Address:

9900 LAKE FOREST BLVD , SUITE F
NEW ORLEANS, LA
70127-2609

Practice Phone: 504-524-1210
Practice Fax: 504-524-1491

1609204759 — VICTORY MEDICAL CLINIC
Practice Location Address:

9970 LAKE FOREST BLVD , SUITE C
NEW ORLEANS, LA
70127-2609

Practice Phone: 504-957-2336
Practice Fax: 504-942-8700

1548681745 — COMMUNITY CHOICE PHARMACY LLC
Practice Location Address:

9970 LAKE FOREST BLVD , SUITE A
NEW ORLEANS, LA
70127-2609

Practice Phone: 504-957-2336
Practice Fax:

Directions to “EXCELTH, INCORPORATED ” 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.