Provider Demographics
NPI:1578640306
Name:WHITFIELD, ERIK ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:ANTHONY
Last Name:WHITFIELD
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 1:1055 SAINT CHARLES AVE STE 240
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-3992
Mailing Address - Country:US
Mailing Address - Phone:504-487-9446
Mailing Address - Fax:504-324-0195
Practice Address - Street 1:1055 SAINT CHARLES AVE STE 240
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3992
Practice Address - Country:US
Practice Address - Phone:504-487-9446
Practice Address - Fax:504-324-0195
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA229602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA48251Medicaid
LAG39215Medicare UPIN
LA5Y117Medicare PIN