Organization
METAIRIE PHYSICIAN SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA MERCADAL (CBO-REVENUE CYCLE SUPERVISOR)
(504) 503-6739
Entity
Organization
Contact information
Practice address
4300 HOUMA BLVD., STE. 202, METAIRIE, LA 70006-2924
(504) 503-6791
(504) 503-6710
Mailing address
4300 HOUMA BLVD., STE 202, METAIRIE, LA 70006-2924
(504) 503-6791
(504) 503-6710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
208M00000X
Hospitalist Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350072
—
LA
01
—
DU1596
RAILROAD MEDICARE
—
Enumeration date
06/03/2013
Last updated
11/25/2020
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