Provider Demographics
| NPI: | 1124040308 |
|---|---|
| Name: | DUMONT, AARON S (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | AARON |
| Middle Name: | S |
| Last Name: | DUMONT |
| 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: | 131 S ROBERTSON ST |
| Mailing Address - Street 2: | SUITE 1300 |
| Mailing Address - City: | NEW ORLEANS |
| Mailing Address - State: | LA |
| Mailing Address - Zip Code: | 70112-2807 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 504-988-5565 |
| Mailing Address - Fax: | 504-988-5793 |
| Practice Address - Street 1: | 131 S ROBERTSON ST |
| Practice Address - Street 2: | SUITE 1300 |
| Practice Address - City: | NEW ORLEANS |
| Practice Address - State: | LA |
| Practice Address - Zip Code: | 70112-2807 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 504-988-5565 |
| Practice Address - Fax: | 504-988-5793 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-07-24 |
| Last Update Date: | 2017-06-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| VA | 0101239907 | 207T00000X |
| PA | MD439010 | 207T00000X |
| NJ | 25MA08803500 | 207T00000X |
| LA | MD.205983 | 207T00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| PA | 102494842 | Medicaid | |
| NJ | 0238783 | Medicaid | |
| NJ | 0238783 | Medicaid | |
| PA | 102494842 | Medicaid |