Provider Demographics
NPI:1437358868
Name:FRISBEE, JOHN THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:FRISBEE
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 1:3530 HOUMA BLVD
Mailing Address - Street 2:STE 203
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4203
Mailing Address - Country:US
Mailing Address - Phone:504-455-1816
Mailing Address - Fax:504-887-7816
Practice Address - Street 1:3530 HOUMA BLVD
Practice Address - Street 2:STE 203
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4202
Practice Address - Country:US
Practice Address - Phone:504-455-1816
Practice Address - Fax:504-887-7816
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204641207W00000X
IL125-052897207R00000X
NY250229207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00187541Medicaid
LA2153251Medicaid
LAP01213061Medicare PIN
MS00187541Medicaid