Provider Demographics
NPI:1053377895
Name:HEMELT, SUSAN R (MD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:R
Last Name:HEMELT
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3600 PRYTANIA ST
Mailing Address - Street 2:STE 35
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3628
Mailing Address - Country:US
Mailing Address - Phone:504-897-8315
Mailing Address - Fax:504-891-9862
Practice Address - Street 1:3712 MACARTHUR BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6802
Practice Address - Country:US
Practice Address - Phone:504-367-6971
Practice Address - Fax:504-367-9181
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2012-06-17
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Provider Licenses
StateLicense IDTaxonomies
LA016630207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1358142Medicaid
LA1358142Medicaid
B62896Medicare UPIN