Provider Demographics
NPI:1326090077
Name:SOUTHERN ORTHOPAEDIC SPECIALISTS APMC
Entity Type:Organization
Organization Name:SOUTHERN ORTHOPAEDIC SPECIALISTS APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRGNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-897-6351
Mailing Address - Street 1:2731 NAPOLEON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6913
Mailing Address - Country:US
Mailing Address - Phone:504-897-6351
Mailing Address - Fax:
Practice Address - Street 1:2731 NAPOLEON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6913
Practice Address - Country:US
Practice Address - Phone:504-897-6351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1205828688OtherDR CLAUDE S WILLIAMS IV
LA1588893390OtherLARA HEYLIGER PT
LACD7722OtherRAILROAD MEDICARE
LA1124495676OtherMATTHEW MADERE DPT
LA1326011172OtherCHRISTOPHER CRONIN DPT
LA1497747380OtherDR CHAD W MILLET
LA1750727772OtherWILSON MARSH PERRY DPT
LA1518959196OtherDR TIMOTHY P FINNEY
LA1750762175OtherJONATHAN FINNEY MD
LA1104021526OtherDR. ANDREW G TODD
LA1295938892OtherDR. MICHAEL J MCNULTY
LA1396737771OtherDR GREGOR J HOFFMAN
LA1700817673OtherDR. ROGER FIELD OGDEN
LA1588893390OtherLARA HEYLIGER PT
LA1326011172OtherCHRISTOPHER CRONIN DPT
LA1326083080OtherHOLLY JAVIER PT
LA1750727772OtherWILSON MARSH PERRY DPT
LA1821433210OtherDR. JOURDAN M CANCIENNE