Provider Demographics
NPI:1093760654
Name:DINKINS, RICHARD SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SCOTT
Last Name:DINKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1318 WASHINGTON AVE.
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130
Mailing Address - Country:US
Mailing Address - Phone:303-819-2895
Mailing Address - Fax:504-910-7596
Practice Address - Street 1:52579 HIGHWAY 51 SOUTH
Practice Address - Street 2:LALLIE KEMP LSU HOSPITAL
Practice Address - City:INDEPENDENCE
Practice Address - State:LA
Practice Address - Zip Code:70443
Practice Address - Country:US
Practice Address - Phone:985-878-1366
Practice Address - Fax:985-878-1308
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01056400A207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
200400290OtherINDIANA
LA1885401Medicaid
IN200400290Medicaid
INH77008Medicare UPIN
IN200400290Medicaid