NPI Details
Alvah Tyson Wickboldt, M.D. is a pain medicine pain medicine in New Orleans, LA with 14 years of experience. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. Alvah Tyson Wickboldt, M.D. NPI is 1083971006. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2012
The provider's business location address is:
1514 JEFFERSON HWY
BRENT HOUSE ROOM 634
NEW ORLEANS, LA
ZIP 70121-429
Phone: (504) 842-3000
The NPI 1083971006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
- Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
- Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
- Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
The enumeration date for this NPI number is 4/15/2012 and was last updated on 7/21/2022.
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 |
| 1 | 390200000X | Student in an Organized Health Care Education/Training Program | | | | No |
| 2 | 208VP0000X | Pain Medicine | Pain Medicine | 305062 | LOUISIANA | Yes |
