Provider Demographics
NPI:1538111224
Name:FINNEY, JOHN G (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:G
Last Name:FINNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:G
Other - Last Name:FINNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3800 HOUMA BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4152
Mailing Address - Country:US
Mailing Address - Phone:504-456-1229
Mailing Address - Fax:504-456-8224
Practice Address - Street 1:3800 HOUMA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4152
Practice Address - Country:US
Practice Address - Phone:504-456-1229
Practice Address - Fax:504-456-8224
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD017270207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1351121Medicaid
LA51122Medicare ID - Type Unspecified
LA1351121Medicaid