Provider Demographics
NPI:1982665733
Name:HOWELL, TODD PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:PATRICK
Last Name:HOWELL
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 1:8485 BLUEBONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2824
Mailing Address - Country:US
Mailing Address - Phone:225-753-1234
Mailing Address - Fax:
Practice Address - Street 1:8485 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2824
Practice Address - Country:US
Practice Address - Phone:225-753-1234
Practice Address - Fax:225-448-2734
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.024939207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1-42210-0Medicaid
H94254Medicare UPIN