Provider Demographics
NPI:1730169715
Name:FELIX, STEVEN DAVID (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DAVID
Last Name:FELIX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8415 GOODWOOD BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7851
Mailing Address - Country:US
Mailing Address - Phone:225-765-8674
Mailing Address - Fax:225-765-8585
Practice Address - Street 1:8415 GOODWOOD BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7851
Practice Address - Country:US
Practice Address - Phone:225-765-8674
Practice Address - Fax:225-765-8585
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-2356272080P0006X
LAMD.2043502080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2136097Medicaid
MS06705549Medicaid
LA2136097Medicaid
LA4P935DN46Medicare PIN
VAG77302Medicare UPIN