Marc Acosta, M.D.
Individual provider Active NPI Internal Medicine Physician · Metairie, LA
NPI 1891868840 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1891868840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 015621 (LA)
- Practice address
- 3100 Houma Blvd
Metairie, LA 70006-5406 - Phone
- (504) 885-9595
- Fax
- (504) 885-9842
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015621 | LA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Dermatology Associates | Past | Accepting new patients | |
| Mary Lou Applewhite, MD, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 015621 | LA | Yes |
Addresses
Primary practice location
3100 Houma Blvd
Metairie, LA 70006-5406
Mailing address
3100 Houma Blvd
Metairie, LA 70006-5406
Phone (504) 885-9595
Other providers in Metairie, LA
- Achievement Therapeutic Services, LLC
- Kerstin Achord
- Natasha Emily Ackerman Jones
- Austin Robert Acks
- Acm Behavioral Psychology LLC
- Acute Pain Center LLC
- Tory Adams-Pittman
- Ashley Adams
- Donald S Adams
- Elizabeth Adams
All providers in Metairie, LA · Internal Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.