Provider Demographics
NPI:1306951082
Name:METAIRIE GASTROENTEROLOGY APMC
Entity type:Organization
Organization Name:METAIRIE GASTROENTEROLOGY APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILVERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-456-6701
Mailing Address - Street 1:4228 HOUMA BLVD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3002
Mailing Address - Country:US
Mailing Address - Phone:504-456-6701
Mailing Address - Fax:504-456-6843
Practice Address - Street 1:4228 HOUMA BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3002
Practice Address - Country:US
Practice Address - Phone:504-456-6701
Practice Address - Fax:504-456-6843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5D313Medicare ID - Type Unspecified