| Jed Kinnick, MD | |
|
1430 Tulane Ave, Sl-37, New Orleans, LA 70112-2632 | |
| (504) 988-5458 | |
| (504) 988-6808 |
| Full Name | Jed Kinnick |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1430 Tulane Ave, New Orleans, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295051332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | E-14818 (Arkansas) | Secondary |
| 207L00000X | Anesthesiology | E-14818 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
| Mailing Address | Practice Location Address |
|---|---|
| Jed Kinnick, MD Po Box 251418, Little Rock, AR 72225-1418 Ph: (501) 364-1100 | Jed Kinnick, MD 1430 Tulane Ave, Sl-37, New Orleans, LA 70112-2632 Ph: (504) 988-5458 |
Dr. Melville Q. Wyche Iii, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4346 Bancroft Dr, New Orleans, LA 70122 Phone: 504-286-7794 Fax: 504-286-7796 | |
Dr. Maged Nabil Aziz Guirguis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2820 Napoleon Ave, Suite #950, New Orleans, LA 70115 Phone: 504-842-5300 | |
Paige Deichmann, Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3755 Fax: 504-842-2036 | |
Dr. James Michael Riopelle, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2021 Perdido St, New Orleans, LA 70112 Phone: 504-903-3000 | |
Reda M Tolba, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Dr. Bryan M Evans, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-4000 | |
Eric Michael Casella, MBBS Anesthesiology Medicare: Medicare Enrolled Practice Location: 1514 Jefferson Hwy, New Orleans, LA 70121 Phone: 504-842-3000 |