Provider Demographics
NPI:1982822433
Name:PEDIATRIC ASSOCIATES OF NEW ORLEANS
Entity Type:Organization
Organization Name:PEDIATRIC ASSOCIATES OF NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DOUGHTY-WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:504-494-6180
Mailing Address - Street 1:4511 DOWNMAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-3716
Mailing Address - Country:US
Mailing Address - Phone:504-245-4000
Mailing Address - Fax:504-243-1005
Practice Address - Street 1:4511 DOWNMAN RD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-3716
Practice Address - Country:US
Practice Address - Phone:504-245-4000
Practice Address - Fax:504-243-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty