Active NPI
Arnette Scavella, MD
- Pediatrics Physician
- Port Allen, LA
National Provider Identifier
1912198219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.200538
- Practice address
- 3515 Highway 1 South
Port Allen, LA 70767 - Phone
- (225) 749-5750
- Fax
- (225) 749-3138
- NPI assigned
- Aug 5, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.200538 | LA | Primary |
Addresses
Primary practice location
3515 Highway 1 South
Port Allen, LA 70767
Mailing address
2221 Houma Blvd
Apt 229
Metairie, LA 70001-1378
Phone (504) 256-0371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1075027 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.200538 | LA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No 2 of Parish of Beauregard State of la | Current | Accepting new patients | |
| Hospital Service District No 2 of Parish of Beauregard State of la | Past | Accepting new patients | |
| River Healthcare, Inc | Past | Accepting new patients | |
| Beauregard Family Medical Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- arnette.scavella@beauregard.medalliesdirect.net
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.
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
-
- Multi-Specialty Clinic/Center
- Deridder, LA
- NPI 1326387705
-
- Rural Health Clinic/Center
- Deridder, LA
- NPI 1578938452
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Port Allen, LA
- NPI 1649290578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1912198219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 HOUMA BLVD",
"address_2": "APT 229",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700011378",
"telephone_number": "504-256-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 HIGHWAY 1 SOUTH",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "70767",
"telephone_number": "225-749-5750",
"fax_number": "225-749-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAVELLA",
"first_name": "ARNETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.200538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1075027",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Allen, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.