Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 304218 | LA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 35093017 | OH |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | C132839 | CA |
NPI | 1205846722 |
---|---|
Provider Name | Dawn Marie Pekarek |
First Address | New Orleans, LA 70121-2429 |
Second Address | New Orleans, LA 70115-6914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 01/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00932152 | (05) | AL |
009932151 | (05) | AL |
009932153 | (05) | AL |
051530360 | BCBS (01) | |
051530368 | BCBS (01) | AL |
051530370 | BCBS (01) | AL |
I37972 | (02) | AL |