Provider Demographics
NPI:1891844197
Name:WEISMAN-ORTENBERG, KAREN JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JOY
Last Name:WEISMAN-ORTENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-5597
Mailing Address - Country:US
Mailing Address - Phone:504-454-9488
Mailing Address - Fax:504-454-9499
Practice Address - Street 1:4141 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-5597
Practice Address - Country:US
Practice Address - Phone:504-454-9488
Practice Address - Fax:504-454-9499
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD022728174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAHO4578Medicare UPIN