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Contact Information

ANDREW W GOTTSCHALK, MD
1201 S CLEARVIEW PKWY
STE 104
JEFFERSON, LA70121-1015
 Phone: 504-736-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANDREW W GOTTSCHALK · (Male)

NPI # 1184745952
Status Active
Credentials MD
Entity Individual
Enumeration date 04/02/2007
Last updated 12/30/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # MD208145
  • NY License # 259369
  • PA License # MD441388
  • LA Medicaid 2402706
  • MN Medicaid 778143000
  • MS Medicaid 00709541
  • NY Medicaid 03296595
  • PA Medicaid 102534788
Hospital affiliation(s)
  • OCHSNER FOUNDATION HOSPITAL - (Acute Care)
    1516 JEFFERSON HWY
    NEW ORLEANS, LA 70121
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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