PETER LIECHTY (NPI# 1952519704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952519704 |
| Entity Type | Individual |
| Full Name | PETER LIECHTY |
| Credential | MD |
| Practice Address |
3530 Houma Blvd Ste 202 Metairie LA 70006-4203 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 5044371111 |
| Practice Fax Number | 5044371323 |
| Mailing Telephone | 9854472645 |
| Mailing Fax Number | 9854472604 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD.202324 | LA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 25794 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1382795 | 05 |
| Street Address |
3530 HOUMA BLVD STE 202 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927838 | Total Joint Cin of Louisiana LLC | Neurological Surgery | 2117 Veterans Memorial Blvd Unit 421, Metairie, LA 70002-6321 | 2017-12-02 |
| 1851568174 | Justin M Haydel | Neurological Surgery | 4770 S 1-10 Service Rd W, Ste 110, Metairie, LA 70001 | 2008-05-15 |
| 1265524631 | Neuro Ortho Spine Clinic LLC | Neurological Surgery | 2920 Kingman Street, Suite 120, Metairie, LA 70006 | 2006-09-29 |
| 1821021320 | Rand M Voorhies | Neurological Surgery | 3601 Houma Blvd, Suite 400, Metairie, LA 70006-4326 | 2006-07-08 |
| 1609367606 | Sbs Neuromonitoring, LLC | Neurological Surgery | 3798 Veterans Memorial Blvd Ste 200, Metairie, LA 70002-5837 | 2018-05-24 |
| 1982119749 | Spine Cin of Louisiana LLC | Neurological Surgery | 2117 Veterans Memorial Blvd Unit 421, Metairie, LA 70002-6321 | 2017-12-02 |
| 1255864179 | One Spine Institute, LLC | Neurological Surgery | 3530 Houma Blvd, Suite 202, Metairie, LA 70006 | 2017-04-07 |
| 1235368937 | Headache Center of New Orleans | Neurological Surgery | 2905 Kingman St, Metairie, LA 70006-6615 | 2009-07-02 |
| 1194996116 | Neurosurgical Associates | Neurological Surgery | 4228 Houma Blvd, Suite 220, Metairie, LA 70006-3000 | 2008-03-18 |
| 1013187756 | Manish Kumar Singh | Neurological Surgery | 3798 Veterans Memorial Blvd Ste 200, Metairie, LA 70002 | 2008-03-10 |
| Find all providers in METAIRIE | ||||
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| 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.