Provider Demographics
NPI:1508009978
Name:JOIA ADELE CREAR MD LLC
Entity Type:Organization
Organization Name:JOIA ADELE CREAR MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOIA
Authorized Official - Middle Name:ADELE
Authorized Official - Last Name:CREAR-PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-861-1613
Mailing Address - Street 1:170 BROADWAY ST
Mailing Address - Street 2:SUITE
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-6709
Mailing Address - Country:US
Mailing Address - Phone:504-861-1613
Mailing Address - Fax:504-861-1615
Practice Address - Street 1:170 BROADWAY ST
Practice Address - Street 2:SUITE
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-6709
Practice Address - Country:US
Practice Address - Phone:504-861-1613
Practice Address - Fax:504-861-1615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-14
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1487848Medicaid
LA4A481Medicare PIN