Provider Demographics
NPI:1235271834
Name:SWAIN- JONES, CATHY C (MD)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:C
Last Name:SWAIN- JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 SO I-10 SEVICE ROAD
Mailing Address - Street 2:SUITE 201A
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1240
Mailing Address - Country:US
Mailing Address - Phone:504-889-7181
Mailing Address - Fax:504-889-7660
Practice Address - Street 1:4720 S I 10 SERVICE RD W
Practice Address - Street 2:STE 201A
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-7404
Practice Address - Country:US
Practice Address - Phone:504-889-7181
Practice Address - Fax:504-889-7660
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD08854R207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1653918Medicaid
LA1653918Medicaid
5R224Medicare ID - Type Unspecified