Provider Demographics
NPI:1265644421
Name:THE FERTILITY INSTITUTE OF NEW ORLEANS
Entity Type:Organization
Organization Name:THE FERTILITY INSTITUTE OF NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-892-7621
Mailing Address - Street 1:800 N CAUSEWAY BLVD
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-4664
Mailing Address - Country:US
Mailing Address - Phone:985-892-7621
Mailing Address - Fax:985-892-9245
Practice Address - Street 1:800 N CAUSEWAY BLVD
Practice Address - Street 2:SUITE 2C
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-4664
Practice Address - Country:US
Practice Address - Phone:985-892-7621
Practice Address - Fax:985-892-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
Not Answered207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA=========OtherSTATE TAX ID NUMBER