Active NPI
Richard Witzig, MD
- Infectious Disease Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 08457R
- Practice address
- 4315 Houma Blvd
Suite 201
Metairie, LA 70006-2940 - Phone
- (504) 455-4622
- Fax
- (504) 455-4688
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 08457R | LA | Primary |
| Hospitalist Physician | 208M00000X | MD.08457R | LA |
Addresses
Primary practice location
4315 Houma Blvd
Suite 201
Metairie, LA 70006-2940
Mailing address
4315 Houma Blvd
Suite 201
Metairie, LA 70006-2940
Phone (504) 455-4622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1937649 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08457R | LA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Jefferson Physicians Group LLC | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Past | Accepting new patients | |
| Infectious Disease Associates | Past | Accepting new patients | |
| Dwight L. Roberson, M.D. Inc. | Past | Accepting new patients |
Locations
4315 Houma Blvd
Ste 201
Metairie, LA 70006
Phone (504) 455-4622
4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003
4200 Houma Blvd
#5
Metairie, LA 70006
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
4200 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4331
4300 Houma Blvd
Ste 202
Metairie, LA 70006
Phone (504) 503-6791
4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1659465698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4315 HOUMA BLVD",
"address_2": "SUITE 201",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062940",
"telephone_number": "504-455-4622",
"fax_number": "504-455-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 HOUMA BLVD",
"address_2": "SUITE 201",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700062940",
"telephone_number": "504-455-4622",
"fax_number": "504-455-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITZIG",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "LA",
"license": "08457R",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "LA",
"license": "MD.08457R",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1937649",
"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 28, 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.