Organization Active NPI

Eric Lonseth, M.D., a Professional Medical Corporation

  • Interventional Pain Medicine Physician
  • Metairie, LA
National Provider Identifier
1497177786
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
MD026075 Issued in LA
Legal business name
ERIC LONSETH, M.D., A PROFESSIONAL MEDICAL CORPORATION
Practice address
4213 Teuton St
Metairie, LA 70006-4123
Phone
(504) 327-5857
Fax
(504) 324-3569
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Eric Lonseth, MD
Title
Authorized Official
Phone
(504) 327-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X MD026075 LA Primary

Addresses

Primary practice location

4213 Teuton St
Metairie, LA 70006-4123

Mailing address

4213 Teuton St
Metairie, LA 70006-4123
Phone (504) 327-5857

Other identifiers 1

IdentifierTypeStateIssuer
1051667MedicaidLA

National Provider Directory

National Provider Directory

Locations

720 Veterans Memorial Blvd
Ste 200
Metairie, LA 70005

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1497177786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 TEUTON ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064123",
            "telephone_number": "504-327-5857",
            "fax_number": "504-324-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 TEUTON ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064123",
            "telephone_number": "504-327-5857",
            "fax_number": "504-324-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC LONSETH, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "LONSETH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "504-327-5857",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "MD026075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051667",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.