Theodore A Irra, MD | |
3434 Houma Blvd, Suite 200, Metairie, LA 70006-4200 | |
(504) 458-6061 | |
(504) 866-0206 |
Full Name | Theodore A Irra |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 3434 Houma Blvd, Metairie, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104879253 | NPI | - | NPPES |
1977276 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 11701R (Louisiana) | Primary |
208000000X | Pediatrics | MD.08928R (Louisiana) | Secondary |
208D00000X | General Practice | MD.08928R (Louisiana) | Secondary |
Entity Name | Oakdale Ess Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750785119 PECOS PAC ID: 7517289713 Enrollment ID: O20141125000402 |
Mailing Address | Practice Location Address |
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Theodore A Irra, MD 3434 Houma Blvd Ste 200, Metairie, LA 70006-4278 Ph: (504) 458-6061 | Theodore A Irra, MD 3434 Houma Blvd, Suite 200, Metairie, LA 70006-4200 Ph: (504) 458-6061 |
Dr. Michael C Grieb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Emergency Room, Metairie, LA 70006 Phone: 210-614-0180 Fax: 210-566-5698 | |
Dr. David Henry Melton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 North I-10 Service Road East, Suite 308, Metairie, LA 70002 Phone: 504-833-7770 Fax: 504-833-7796 | |
Dr. Carl Zalokoski Mcallister, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4200 Houma Blvd, Emergency Department, Metairie, LA 70006 Phone: 504-454-4196 | |
Dr. Cristobal Mandry, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3223 8th St, Metairie, LA 70002 Phone: 504-833-7770 Fax: 504-833-7782 | |
Dr. Terry Creel, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4200 Houma Blvd, Emergency Department, Metairie, LA 70006 Phone: 210-614-0180 Fax: 210-566-5698 | |
Barbara L. Cohn, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4901 Lake Louise Avenue, Metairie, LA 70006 Phone: 504-491-2957 Fax: 504-456-7224 |