Provider Demographics
NPI:1619184371
Name:ZAVATSKY, JOSEPH M (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:M
Last Name:ZAVATSKY
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 1:3535 SEVERN AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3446
Mailing Address - Country:US
Mailing Address - Phone:855-752-2225
Mailing Address - Fax:800-793-3305
Practice Address - Street 1:3535 SEVERN AVE STE 8
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3446
Practice Address - Country:US
Practice Address - Phone:855-752-2225
Practice Address - Fax:800-793-3305
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2018-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109014207X00000X, 207XS0117X, 207XS0117X
LAMD.202442207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012835600Medicaid
FL14W5ZOtherBCBS
FL9064222OtherAETNA
FL012835600Medicaid
FLHX252ZMedicare PIN
FL012835600Medicaid
FL14W5ZOtherBCBS
MSC8036596Medicaid