Provider Demographics
NPI:1811263452
Name:JOHN G. FINNEY MD, LLC
Entity type:Organization
Organization Name:JOHN G. FINNEY MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:FINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-456-1229
Mailing Address - Street 1:3800 HOUMA BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-4152
Mailing Address - Country:US
Mailing Address - Phone:504-456-1229
Mailing Address - Fax:504-456-8224
Practice Address - Street 1:3800 HOUMA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-4152
Practice Address - Country:US
Practice Address - Phone:504-456-1229
Practice Address - Fax:504-456-8224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1351121Medicaid
LA51122Medicare PIN
LAB62822Medicare UPIN