Provider Demographics
NPI:1134345986
Name:GUNN, SUSAN HUGHEY (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:HUGHEY
Last Name:GUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:SUSAN
Other - Middle Name:HARRETT
Other - Last Name:HUGHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1514 JEFFERSON HIGHWAY
Mailing Address - Street 2:DEPARTMENT OF PULMONARY AND CRITICAL CARE
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-4055
Mailing Address - Fax:504-842-6243
Practice Address - Street 1:1514 JEFFERSON HIGHWAY
Practice Address - Street 2:DEPARTMENT OF PULMONARY AND CRITICAL CARE
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-842-4055
Practice Address - Fax:504-842-6243
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.026415207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02007296Medicaid
LA1065129Medicaid
LA1065129Medicaid
LA4M121Medicare PIN