Eric J Schultis, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD104207 Issued in LA

Practice address

4720 S. I-10 Service Rd. W
Suite 206
Metairie, LA 70001-1240

Phone

(504) 455-7999

Fax

(504) 455-7920

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1184643736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 140",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062934",
            "telephone_number": "504-455-7999",
            "fax_number": "504-455-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S. I-10 SERVICE RD. W",
            "address_2": "SUITE 206",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011240",
            "telephone_number": "504-455-7999",
            "fax_number": "504-455-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4224 Houma Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700062934",
            "country_code": "US",
            "telephone_number": "504-455-7999",
            "fax_number": "504-455-7920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTIS",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD104207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICAF",
            "identifier": "160009039",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337323",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF LA",
            "identifier": "423022231A",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "690471",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Brooke Schoderbek
• Yeilene Ashley Schower, FNP
• Alison Dauzat Schreefel, LCSW
• Shane Anthony Schruff, FNP-C
• Catherine Schully
• Emily Schumacher, LPC, ATR
• Jeffrey David Schumacher, DVM
• Johanna Gertruida Schutte, MSW,LCSW
• Abby Schwab, BCBA
• Aryn B. Schwartz, BCBA

• Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.