Active NPI
Steven Dick Mehaffey, M.D.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kenner, LA
National Provider Identifier
1366549065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- L03844R
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1385026 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040617000603 | LA | Practitioner - Undersea and Hyperbaric Medicine | 3173507084 | Practice locations: Kenner, LA; New Orleans, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L03844R | LA | MD | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Kenner, LA
- NPI 1699321703
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1770521460
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.