Active NPI
Marcia B Davila, MD
- Specialist
- New Orleans, LA
National Provider Identifier
1518101633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD.016921
- Practice address
- 5640 Read Blvd
Suite 540
New Orleans, LA 70127-3140 - Phone
- (504) 658-2750
- Fax
- (504) 658-0006
- NPI assigned
- Apr 21, 2009
- Sex
- Female
- 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 | MD.016921 | LA | Primary |
Addresses
Primary practice location
5640 Read Blvd
Suite 540
New Orleans, LA 70127-3140
Mailing address
5640 Read Blvd
Suite 540
New Orleans, LA 70127-3140
Phone (504) 658-2750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1351113 | 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 |
|---|---|---|---|
| MD.016921 | LA | MD | Specialist |
| 016921 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1518101633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5640 READ BLVD",
"address_2": "SUITE 540",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273140",
"telephone_number": "504-658-2750",
"fax_number": "504-658-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5640 READ BLVD",
"address_2": "SUITE 540",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701273140",
"telephone_number": "504-658-2750",
"fax_number": "504-658-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "MARCIA",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "MD.016921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1351113",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.