Provider Demographics
NPI:1942209457
Name:ANESTHESIA EAST INC
Entity Type:Organization
Organization Name:ANESTHESIA EAST INC
Other - Org Name:MEDICAL BILLING COMPANY OF LOUISIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HEAD ANESTHESIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAMM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-241-4832
Mailing Address - Street 1:9830 LAKE FOREST BLVD
Mailing Address - Street 2:STE 111
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-5455
Mailing Address - Country:US
Mailing Address - Phone:504-241-4832
Mailing Address - Fax:504-242-4984
Practice Address - Street 1:5620 READ BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-3106
Practice Address - Country:US
Practice Address - Phone:504-241-4832
Practice Address - Fax:504-241-4832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA102549207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA01323OtherBLUE CROSS
LA1793442Medicaid
LA1793442Medicaid