MEDICARE: ANESTHESIA EAST INC

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	207L00000X	Anesthesiology Physician	102549	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01323	OTHER	LA	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942209457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANESTHESIA EAST INC

Provider Business Mailing Address
First Line	:	9830 LAKE FOREST BLVD
Second Line	:	STE 111
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-5455
Country	:	US
Telephone Number	:	504-241-4832
Fax Number	:	504-242-4984

Provider Business Practice Location Address
First Line	:	5620 READ BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-3106
Country	:	US
Telephone Number	:	504-241-4832
Fax Number	:	504-241-4832

Authorized Official
Title or Position	:	HEAD ANESTHESIOLOGIST
Name	:	DR. PAUL L SAMM
Credential	:	M.D.
Telephone Number	:	504-241-4832

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	08/22/2020

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Directions to “ANESTHESIA EAST INC ” Practice Location

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