Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 015649 | LA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 15649 | LA |
N | 207RI0011X | Interventional Cardiology | 015649 | LA |
NPI | 1073515011 |
---|---|
Provider Name | Norman Joseph Deumite |
First Address | Baton Rouge, LA 70816-6038 |
Second Address | Baton Rouge, LA 70808-4370 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 03/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060021705 | PALMETTO GBA (01) | LA |
1365564 | (05) | LA |
232752 | WELLCARE (01) | LA |
2500238 | UNITED HEALTHCARE (01) | LA |
4211628 | AETNA (01) | LA |
B89779 | (02) | LA |