Provider Demographics
NPI:1447228861
Name:THE RHEUMATOLOGY GROUP, LLC
Entity Type:Organization
Organization Name:THE RHEUMATOLOGY GROUP, LLC
Other - Org Name:WILSON & SANDERS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERLIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-899-1120
Mailing Address - Street 1:2633 NAPOLEON AVE
Mailing Address - Street 2:SUITE #530
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-6357
Mailing Address - Country:US
Mailing Address - Phone:504-899-1120
Mailing Address - Fax:504-899-2137
Practice Address - Street 1:2633 NAPOLEON AVE
Practice Address - Street 2:SUITE #530
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-6357
Practice Address - Country:US
Practice Address - Phone:504-899-1120
Practice Address - Fax:504-899-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1794929Medicaid
5D018Medicare UPIN