Provider Demographics
NPI:1619058138
Name:ERIC M FINLEY MD LLC
Entity Type:Organization
Organization Name:ERIC M FINLEY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:M
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-896-2255
Mailing Address - Street 1:3434 PRYTANIA ST STE 240
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3576
Mailing Address - Country:US
Mailing Address - Phone:504-896-2255
Mailing Address - Fax:504-896-2283
Practice Address - Street 1:3434 PRYTANIA ST STE 240
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3576
Practice Address - Country:US
Practice Address - Phone:504-896-2255
Practice Address - Fax:504-896-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.09675R207ND0101X, 207NS0135X
LA09675R261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1969893Medicaid
LAF61654Medicare UPIN
LA5CV96Medicare ID - Type UnspecifiedPHYSICIAN