Provider Demographics
NPI:1114973948
Name:NEW ORLEANS PHYSICIANS ON-CALL, INC.
Entity type:Organization
Organization Name:NEW ORLEANS PHYSICIANS ON-CALL, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BENEDICT
Authorized Official - Middle Name:E
Authorized Official - Last Name:IDOWU
Authorized Official - Suffix:SR
Authorized Official - Credentials:DO
Authorized Official - Phone:225-287-2914
Mailing Address - Street 1:3684 S COTTAGES AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2790
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:225-296-1642
Practice Address - Street 1:3636 S SHERWOOD FOREST BLVD STE 650
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-5216
Practice Address - Country:US
Practice Address - Phone:225-756-2180
Practice Address - Fax:225-756-2179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3812614Medicaid
LA1944360Medicaid