Provider Demographics
NPI:1013912278
Name:SATTERLEE, ARTHUR JERRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:JERRY
Last Name:SATTERLEE
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 1:1310 GAUSE BLVD
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-3016
Mailing Address - Country:US
Mailing Address - Phone:985-643-5476
Mailing Address - Fax:985-641-2854
Practice Address - Street 1:1310 GAUSE BLVD
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-3016
Practice Address - Country:US
Practice Address - Phone:985-643-5476
Practice Address - Fax:985-641-2854
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08223R2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX038126102Medicaid
LA1908541Medicaid
LA1908541Medicaid
TXP00381119Medicare PIN
LA5N278Medicare ID - Type Unspecified
TX8J1412Medicare PIN