Provider Demographics
NPI:1639154743
Name:CRAPANZANO, JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:CRAPANZANO
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 1:4320 HOUMA BLVD
Mailing Address - Street 2:FL 6
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2961
Mailing Address - Country:US
Mailing Address - Phone:504-503-4109
Mailing Address - Fax:504-503-4103
Practice Address - Street 1:4320 HOUMA BLVD
Practice Address - Street 2:FL 6
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2961
Practice Address - Country:US
Practice Address - Phone:504-503-4109
Practice Address - Fax:504-503-4103
Is Sole Proprietor?:No
Enumeration Date:2005-12-12
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016596208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1349186Medicaid
LAB89267Medicare UPIN
LAP00063156Medicare PIN
LA5U863CH22Medicare PIN
LA1349186Medicaid