Provider Demographics
NPI:1740248046
Name:ORANGIO, GUY R (MD)
Entity type:Individual
Prefix:
First Name:GUY
Middle Name:R
Last Name:ORANGIO
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 1:1542 TULANE AVE
Mailing Address - Street 2:747
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2865
Mailing Address - Country:US
Mailing Address - Phone:504-568-4750
Mailing Address - Fax:504-568-4633
Practice Address - Street 1:1542 TULANE AVE
Practice Address - Street 2:747
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2865
Practice Address - Country:US
Practice Address - Phone:504-568-4750
Practice Address - Fax:504-568-4633
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA205706208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1406942OtherUNITED HEALTHCARE
52238426OtherBCBS
1020OtherKAISER
GA00308481CMedicaid
4031278OtherAETNA NON HMO
519463OtherAETNA HMO
0979090010OtherCIGNA HMO
4031278OtherAETNA NON HMO
582000488OtherEIN