Active NPI
Marilyn Evelyn Pelias, M.D.
- Surgery Physician
- Covington, LA
National Provider Identifier
1932433711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 020071
- Practice address
- 101 Judge Tanner Blvd.
Suite 402
Covington, LA 70433 - Phone
- (985) 892-8959
- Fax
- (985) 892-8975
- NPI assigned
- Sep 25, 2009
- Last updated
- Aug 15, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 020071 | LA | Primary |
Addresses
Primary practice location
101 Judge Tanner Blvd.
Suite 402
Covington, LA 70433
Mailing address
1415 Tulane Ave
TW-4
New Orleans, LA 70112-2600
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 |
|---|---|---|---|
| 020071 | LA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1932433711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 TULANE AVE",
"address_2": "TW-4",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 JUDGE TANNER BLVD.",
"address_2": "SUITE 402",
"city": "COVINGTON",
"state": "LA",
"postal_code": "70433",
"telephone_number": "985-892-8959",
"fax_number": "985-892-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELIAS",
"first_name": "MARILYN",
"middle_name": "EVELYN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "020071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Paul Van Deventer MD Apmc (Pinnacle Orthopaedics)
- Karelle Erica Pearcy, IBCLC
- Tracie Lebleu Pearson, M.D.
- Molly Marie Peck
- Pediatric Therapy and Learning Center of the Northshore
- Pelican Orthotics and Prosthetics
- Pellegrin Healthcare LLC
- Naomi Hess Pellichino, PA-C
- Brittany Pellow, MS, CCC/SLP
- Heather Bradford Peltier, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.