Provider Demographics
NPI:1235366626
Name:PIGGOTT, KURT D (MD)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:D
Last Name:PIGGOTT
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 1:200 HENRY CLAY AVE., ACC 3308
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118
Mailing Address - Country:US
Mailing Address - Phone:504-894-5102
Mailing Address - Fax:504-896-3952
Practice Address - Street 1:200 HENRY CLAY AVE., ACC 3308
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118
Practice Address - Country:US
Practice Address - Phone:504-894-5102
Practice Address - Fax:504-896-3952
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1043632080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2434535Medicaid
LA304030OtherSTATE LICENSURE
LA304030OtherSTATE LICENSURE
LA2434535Medicaid
FLCW349YMedicare PIN