Provider Demographics
NPI:1992826721
Name:AIKEN, JAMES BEAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BEAM
Last Name:AIKEN
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 1:81 YOSEMITE DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8661
Mailing Address - Country:US
Mailing Address - Phone:504-393-9494
Mailing Address - Fax:504-392-3298
Practice Address - Street 1:81 YOSEMITE DR
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-8661
Practice Address - Country:US
Practice Address - Phone:504-393-9494
Practice Address - Fax:504-392-3298
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015108207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1306355Medicaid
LA51029Medicare ID - Type Unspecified
LAB89399Medicare UPIN