Scott Keith Sullivan JR.
Plastic and Reconstructive Surgery
1717 Saint Charles Ave
New Orleans
, Louisiana 70130-5223
Scott Keith Sullivan JR.
Plastic and Reconstructive Surgery
1717 Saint Charles Ave
New Orleans
, Louisiana 70130-5223
(504) 899-2800
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Scott Keith Sullivan JR.
- Po Box 8664
- Metairie, LA
- Zip : 70011-8664
- Phone : (504) 899-2800
Second Address
- Scott Keith Sullivan JR.
- 1717 Saint Charles Ave
- New Orleans, LA
- Zip : 70130-5223
- Phone : (504) 899-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | MD.021287 | LA |
National Provider Identifier
| NPI | 1154344000 |
|---|---|
| Provider Name | Scott Keith Sullivan JR. |
| First Address | Metairie, LA 70011-8664 |
| Second Address | New Orleans, LA 70130-5223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/07/2006 |
| Last Update Date | 07/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 192322 | (05) | LA |
| F13286 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.