Provider Demographics
NPI:1609092923
Name:RIGAMER, ELMORE FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ELMORE
Middle Name:FRANCIS
Last Name:RIGAMER
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:P.O. BOX 4148
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70178-4148
Mailing Address - Country:US
Mailing Address - Phone:504-207-3060
Mailing Address - Fax:504-212-9534
Practice Address - Street 1:1016 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3010
Practice Address - Country:US
Practice Address - Phone:504-899-0322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0103152084D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1465461Medicaid
LA1153222Medicaid
LA1465461Medicaid
LA4J804Medicare ID - Type Unspecified