Provider Demographics
NPI:1285691683
Name:WHITE, ANNA MARIE (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:OCHSNER MEDICAL CENTER, DEPT OF OB/GYN, 6TH FLOOR
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:504-842-4687
Practice Address - Street 1:1514 JEFFERSON HIGHWAY
Practice Address - Street 2:OCHSNER MEDICAL CENTER, DEPT OF OB/GYN, 6TH FLOOR
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-842-4000
Practice Address - Fax:504-842-4687
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9547207V00000X
LAMD. 202147207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168000101Medicaid
LA1166014Medicaid
MS00475321Medicaid
LA4N190Medicare PIN
MS00475321Medicaid
TX8C5905Medicare ID - Type Unspecified
LA4N1907061Medicare PIN