Basic Information
Provider Information | |||||||||
NPI: | 1689756421 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | HELMAN | ||||||||
FirstName: | RICHARD | ||||||||
MiddleName: | G | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: | JR. | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 27 TENNYSON PL | ||||||||
Address2: |   | ||||||||
City: | NEW ORLEANS | ||||||||
State: | LA | ||||||||
PostalCode: | 701315444 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5043496945 | ||||||||
FaxNumber: | 5043496949 | ||||||||
Practice Location | |||||||||
Address1: | 1111 MEDICAL CENTER BLVD | ||||||||
Address2: | SUITE SOUTH 250 | ||||||||
City: | MARRERO | ||||||||
State: | LA | ||||||||
PostalCode: | 700723151 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5043496945 | ||||||||
FaxNumber: | 5043496949 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 10/20/2006 | ||||||||
LastUpdateDate: | 11/03/2010 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | MD.016086 | LA | Y |   | Other Service Providers | Specialist |   |
ID Information
ID | Type | State | Issuer | Description | 5405145002 | 01 | LA | CIGNA | OTHER | 1691992 | 05 | LA |   | MEDICAID | 5896084 | 01 | LA | AETNA | OTHER | 07-00453 | 01 | LA | UNITED HEALTHCARE | OTHER |