Organization Active NPI

Steven a. Scalco, M.D., a.P.M.C

  • Otolaryngology Physician
  • Metairie, LA
National Provider Identifier
1740472166
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
STEVEN A. SCALCO, M.D., A.P.M.C
Practice address
3812 Ridgelake Dr
Suite 2B
Metairie, LA 70002-7255
Phone
(504) 833-0250
Fax
(504) 834-1486
NPI assigned
Aug 10, 2007
Last updated
Jan 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mrs. Maggie C Gomez
Title
Office Manager
Phone
(504) 833-0214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

3812 Ridgelake Dr
Suite 2B
Metairie, LA 70002-7255

Mailing address

3812 Ridgelake Dr
Suite 2B
Metairie, LA 70002-7255
Phone (504) 833-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000237 LA Part B Supplier - Clinic/Group Practice 7113186487 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

3812 Ridgelake Dr
Ste 2B
Metairie, LA 70002
Phone (504) 833-0250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1740472166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "SUITE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027255",
            "telephone_number": "504-833-0250",
            "fax_number": "504-834-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "SUITE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027255",
            "telephone_number": "504-833-0250",
            "fax_number": "504-834-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. SCALCO, M.D., A.P.M.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "504-833-0214",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.