DR. MARY T KILLACKEY (NPI# 1538129135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538129135 |
| Entity Type | Individual |
| Full Name | DR. MARY T KILLACKEY |
| Credential | MD |
| Practice Address |
1415 Tulane Ave # Tw-35 New Orleans LA 70112-2600 |
| Practice Telephone | 5049880783 |
| Practice Fax Number | 5049887510 |
| Mailing Telephone | 5049880783 |
| Mailing Fax Number | 5049887510 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | MD.201122 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101398841 | 05 | |
| LA | 1455172 | 05 |
| Street Address |
1415 TULANE AVE # TW-35 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881652352 | Hoonbae Jeon | Transplant Surgery | 1415 Tulane Ave Fl 6, New Orleans, LA 70112 | 2006-05-03 |
| 1043213069 | David S Bruce | Transplant Surgery | 1514 Jefferson Highway, New Orleans, LA 70121 | 2005-05-23 |
| 1134413792 | Sixto G Giusti | Transplant Surgery | 1415 Tulane Ave Fl 6, New Orleans, LA 70112-2600 | 2011-06-01 |
| 1831427806 | John Brentley Seal | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2009-12-02 |
| 1467688812 | Kofi Atiemo | Transplant Surgery | 1415 Tulane Ave Fl 6, New Orleans, LA 70112 | 2009-05-29 |
| 1164683074 | Emily Marie Bugeaud | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-06-23 |
| 1104092899 | Trevor William Reichman | Transplant Surgery | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2008-05-02 |
| 1477733087 | Humberto Elias Bohorquez | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-11-12 |
| 1477742211 | Dennis Sonnier Jr. | Transplant Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-10-17 |
| 1043306285 | Jennifer Mcgee | Transplant Surgery | 3600 Prytania St, St 35, New Orleans, LA 70115-3628 | 2006-10-05 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
Please comment or provide details below to improve the information on DR. MARY T KILLACKEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.