Dr Adam Joseph Broussard, MD | |
200 Henry Clay Ave, New Orleans, LA 70118-5720 | |
(225) 772-4090 | |
Not Available |
Full Name | Dr Adam Joseph Broussard |
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Gender | Male |
Speciality | Anesthesiology - Pediatric Anesthesiology |
Location | 200 Henry Clay Ave, New Orleans, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346564358 | NPI | - | NPPES |
2106155 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP3000X | Anesthesiology - Pediatric Anesthesiology | MD.204659 (Louisiana) | Primary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 31534 (Oklahoma) | Secondary |
Entity Name | Childrens Hospital Anesthesia Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
Mailing Address | Practice Location Address |
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Dr Adam Joseph Broussard, MD 1021 Euterpe St, New Orleans, LA 70130-4123 Ph: (225) 772-4090 | Dr Adam Joseph Broussard, MD 200 Henry Clay Ave, New Orleans, LA 70118-5720 Ph: (225) 772-4090 |
Dr. Melville Q. Wyche Iii, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4346 Bancroft Dr, New Orleans, LA 70122 Phone: 504-286-7794 Fax: 504-286-7796 | |
Dr. Maged Nabil Aziz Guirguis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2820 Napoleon Ave, Suite #950, New Orleans, LA 70115 Phone: 504-842-5300 | |
Paige Deichmann, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3755 Fax: 504-842-2036 | |
Dr. James Michael Riopelle, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3000 | |
Reda M Tolba, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Ken Philip Ehrhardt Jr., Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1542 Tulane Ave Ste 653, New Orleans, LA 70112 Phone: 504-568-2319 | |
Dr. Bryan M Evans, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 |