Provider Demographics
NPI:1952457244
Name:TIMPTON, RICHARD H III (LRT(R))
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:H
Last Name:TIMPTON
Suffix:III
Gender:M
Credentials:LRT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2701 GENERAL MEYER AVE
Mailing Address - Street 2:UPPER
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-3048
Mailing Address - Country:US
Mailing Address - Phone:504-240-7066
Mailing Address - Fax:504-367-3645
Practice Address - Street 1:2701 GENERAL MEYER AVE
Practice Address - Street 2:UPPER
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-3048
Practice Address - Country:US
Practice Address - Phone:504-240-7066
Practice Address - Fax:504-367-3645
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA25302471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1301299Medicaid
LA1793167Medicaid
LA5M157Medicare ID - Type UnspecifiedRADIOLOGY ASSOCIATES
LA1793167Medicaid