Active NPI
David H. Mielke, M.D.
- Specialist
- Metairie, LA
National Provider Identifier
1093846206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 010238
- Practice address
- 619 Aurora Ave
Metairie, LA 70005-2601 - Phone
- (504) 427-5467
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 010238 | LA | Primary |
Addresses
Primary practice location
619 Aurora Ave
Metairie, LA 70005-2601
Mailing address
1440 Canal St
Room 1000
New Orleans, LA 70112-2703
Phone (504) 988-5246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1142093 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010238 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093846206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 CANAL ST",
"address_2": "ROOM 1000",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122703",
"telephone_number": "504-988-5246",
"fax_number": "504-988-4270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 AURORA AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700052601",
"telephone_number": "504-427-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIELKE",
"first_name": "DAVID",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "010238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1142093",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
- Michelle L Wall, LLC (ABC Case Management)
- Katelyn Morgan Michels, MCD, CCC-SLP
- Kayla Michot
- Microsurgical Reconstructive Servises
- Francesca Tusa Middleton, MCD, CCC-SLP
- Carol S Miers, LPC, LMFT
- Stephen Andrew Migliore, DDS
- Miguel P. Rivera, M.D. a.P.M.C.
- Mike Mahony, MD, LLC
- Amy Jeanette Mikolajewski, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.