Provider Demographics
NPI:1902806417
Name:RICHARD A. SPECTOR MD LLC
Entity Type:Organization
Organization Name:RICHARD A. SPECTOR MD LLC
Other - Org Name:NEW ORLEANS CLINIC FOR VOICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:SPECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-899-2381
Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-899-2381
Mailing Address - Fax:504-897-7829
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 240
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-899-2381
Practice Address - Fax:504-897-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1152404Medicaid
LA1152404Medicaid
LA5C077Medicare PIN