Provider Demographics
NPI:1447209218
Name:MEOLI, AMY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:MEOLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:ATCHISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:2820 NAPOLEON AVE STE 890
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-8290
Practice Address - Country:US
Practice Address - Phone:504-842-4910
Practice Address - Fax:504-842-3157
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD060081L207RP1001X, 207RS0012X
LA321309207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
33370021OtherBCBS KC
PA071022Medicare PIN
PA203831Medicare PIN
P00332944Medicare PIN
KS100146730EMedicaid
0213028Medicare PIN
961735032Medicare PIN
33370021OtherBCBS KC
MOF04049Medicare UPIN
MO211149OtherANTHEM BCBS
MOW19000073Medicare PIN
PA203831RVVMedicare PIN
0213028AMedicare PIN
MO203612528Medicaid
P00332944Medicare PIN
WAG8924450Medicare PIN
105991Medicare PIN
WA2030380Medicaid