Provider Demographics
NPI:1851370159
Name:FELDMAN, ARNOLD ERWIN (MD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:ERWIN
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E AIRPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6515
Mailing Address - Country:US
Mailing Address - Phone:225-201-0950
Mailing Address - Fax:225-201-9948
Practice Address - Street 1:505 E AIRPORT AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6515
Practice Address - Country:US
Practice Address - Phone:225-201-0950
Practice Address - Fax:225-201-9948
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10296R208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00016508Medicaid
LA050005383OtherRAILROAD MEDICARE
LA1357316Medicaid
MS050005383OtherRAILROAD MEDICARE
LA050005383OtherRAILROAD MEDICARE
MS050000033Medicare ID - Type Unspecified
MS00016508Medicaid
LA0495510002Medicare NSC
LA050005383OtherRAILROAD MEDICARE