| NPI | 1104836790 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-08-08 |
| Last Updated | 2022-01-28 |
| Mailing Address | 5959 S Sherwood Forest Blvd Baton Rouge, LA 70816-6038 United States Phone: (985) 730-7195 | Fax: (225) 765-9196 📍 View Map |
| Primary Practice Address | 728 W 11th Ave Covington, LA 70433-2318 United States Phone: (225) 765-5777 | Fax: (225) 765-6642 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MS | 08687793 | - |
| MEDICAID | LA | 1491110 | - |
| Other (non-Medicare) | LA | P00148566 | Medicare Railroad ID |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 208000000X – Pediatrics | LA | 23081 |
| Yes | 207R00000X – Internal Medicine | LA | 23081 |
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About NPI 1104836790
Susan F Ovella MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104836790. The primary specialty listed is Internal Medicine. The provider is located in Covington, LA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104836790?
NPI 1104836790 belongs to Susan F Ovella MD, a Internal Medicine in Covington, LA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104836790 active?
The current status of NPI 1104836790 in the NPPES registry is Active. The record was last updated on 2022-01-28.
What specialty is NPI 1104836790?
NPI 1104836790 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104836790?
You can verify NPI 1104836790 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104836790?
The primary practice address on file for NPI 1104836790 is 728 W 11th Ave, Covington, LA 70433-2318. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104836790 issued?
NPI 1104836790 was first issued (enumerated) on 2006-08-08. The NPPES record was last updated on 2022-01-28.
Practice Location Map
Susan F Ovella is located at 728 W 11th Ave, Covington, LA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Susan F Ovella. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104836790. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pediatrics | 23081 | LA |
| Internal Medicine | 23081 | LA |