Individual
DR. PETER WYNHOVEN SIMONEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3940
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
018423
LA
207ND0101X
MOHS-Micrographic Surgery Physician
018423
LA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD.018423
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00119119
MEDICAID
MS
05
—
1381454
—
LA
01
—
P00033629
RR MEDICARE
LA
Enumeration date
05/04/2006
Last updated
05/28/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us