Provider Demographics
NPI:1609098912
Name:SHARON S. MEYER, MD, LLC
Entity Type:Organization
Organization Name:SHARON S. MEYER, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINITRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-897-5899
Mailing Address - Street 1:3434 PRYTANIA STREET, SUITE 310
Mailing Address - Street 2:SHARON S. MEYER, MD, LLC
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-897-5899
Mailing Address - Fax:504-897-4291
Practice Address - Street 1:3434 PRYTANIA STREET, SUITE 310
Practice Address - Street 2:SHARON S. MEYER, MD, LLC
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-5899
Practice Address - Fax:504-897-4291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA018836207N00000X
LAMD.018836207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1372331Medicaid
LA5CE53Medicare PIN
51938CE53Medicare PIN