DR. MICHAEL DAVID MODICA (NPI# 1013334069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013334069 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID MODICA |
| Credential | M.D. |
| Practice Address |
1542 Tulane Ave # T4m-2 New Orleans LA 70112-2865 |
| Practice Telephone | 5045685600 |
| Practice Fax Number | 5045687884 |
| Mailing Telephone | 5045685600 |
| Mailing Fax Number | 5045687884 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2017-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 208088 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2361490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295926061 | Michael Modica | Radiology | 877 W Main St, Suite 603, Boise, ID 83702-5883 | 2007-08-07 |
| Street Address |
1542 TULANE AVE # T4M-2 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
| 1497303622 | Janie Black Fox | Internal Medicine | 5715 Tchoupitoulas St, New Orleans, LA 70115-2112 | 2019-08-30 |
| 1518529650 | Kaushik Annam | Internal Medicine | 533 Bolivar St # 451b, New Orleans, LA 70112-1349 | 2019-06-28 |
| 1003379124 | Ochsner Clinic LLC | Internal Medicine | 701 Poydras St Ste 107, New Orleans, LA 70139-7713 | 2019-04-08 |
| 1366930877 | Heartlung Rehab, LLC | Internal Medicine | 939 S Jeff Davis Pkwy, New Orleans, LA 70125-1216 | 2018-04-30 |
| 1437681061 | Dominique Monlezun | Internal Medicine | 500 Lake Marina Ave Apt 221, New Orleans, LA 70124-1656 | 2017-04-02 |
| 1427599760 | Christie Kimball | Internal Medicine | 2512 Magazine St Apt C, New Orleans, LA 70130-5667 | 2017-03-20 |
| 1376906479 | Jordan Harry | Internal Medicine | 115 Sherwood Forest Dr, New Orleans, LA 70119-3716 | 2016-04-05 |
| 1891157756 | Emma Lindsey | Internal Medicine | 3318 Cleveland Ave, New Orleans, LA 70119-6224 | 2016-03-22 |
| 1669846754 | Julio C. Guillen, Jr. Md LLC | Internal Medicine | 2235 Palmer Ave, New Orleans, LA 70118-6369 | 2015-11-30 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.