Individual provider Active NPI

Steven Dick Mehaffey, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kenner, LA
National Provider Identifier
1366549065
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
L03844R Issued in LA
Practice address
180 W Esplanade Ave
Kenner Regional Medical Center
Kenner, LA 70065-2467
Phone
(504) 464-8686
Fax
(504) 464-8174
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician 207PE0005X L03844R LA Primary

Addresses

Primary practice location

180 W Esplanade Ave
Kenner Regional Medical Center
Kenner, LA 70065-2467

Mailing address

23749 Fletcher Isle
Ponchatoula, LA 70454-6833
Phone (985) 370-7758

Other identifiers 1

IdentifierTypeStateIssuer
1385026MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040617000603 LA Practitioner - Undersea and Hyperbaric MedicinePractitioner - Emergency MedicinePractitioner - Other (Physician) 3173507084 Practice locations: Kenner, LA; New Orleans, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L03844RLAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inphynet Primary Care Physicians Southeast PC Past Accepting new patients
Ochsner Medical Center - Kenner, L.L.C. Past Accepting new patients
Extreme Environmental Medicine, LLC Undersea and Hyperbaric Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366549065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23749 FLETCHER ISLE",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546833",
            "telephone_number": "985-370-7758",
            "fax_number": "504-469-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "address_2": "KENNER REGIONAL MEDICAL CENTER",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-464-8686",
            "fax_number": "504-464-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHAFFEY",
        "first_name": "STEVEN",
        "middle_name": "DICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "LA",
            "license": "L03844R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385026",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.