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DR. TINTIN DEVOE A PROFESSIONAL MEDICAL CORPORATION NPI 1043329071


NPI Information

NPI: 1043329071
Provider Name: DR. TINTIN DEVOE A PROFESSIONAL MEDICAL CORPORATION

Doing Business As: MANDEVILLE PEDIATRIC CLINIC

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
4880 HIGHWAY 22
MANDEVILLE, LA
ZIP 70471
Phone: (985) 845-8894
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DR. TINTIN DEVOE A PROFESSIONAL MEDICAL CORPORATION is an adolescent medicine pediatrics in Mandeville, LA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. TINTIN DEVOE A PROFESSIONAL MEDICAL CORPORATION NPI is 1043329071. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mandeville Pediatric Clinic.

The provider's business location address is:

4880 HIGHWAY 22
MANDEVILLE, LA
ZIP 70471-748
Phone: (985) 845-8894
Fax: (985) 845-1969

The provider's authorized official is Albert Devoe .
The authorized official title is Business Manager and has the following contact phone number (985) 845-8894.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine016922LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447048MEDICAIDLOUISIANA
21200111OTHERUNITEDHEALTH CARE
34254173OTHERAETNA
40678432OTHERAETNA
526652840AOTHERBLUE CROSS FEDERAL
6174540401769OTHERHUMANA
753252OTHERBLUE CROSS / BLUE SHIELD
885720OTHERCOVENTRY HEALTH
91326551MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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