DR. MARY CATHERINE PHELAN IV (NPI# 1013387620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013387620 |
Entity Type | Individual |
Full Name | DR. MARY CATHERINE PHELAN IV |
Credential | PH.D. |
Practice Address |
1430 Tulane Ave Sl31 New Orleans LA 70112-2632 |
Practice Telephone | 5049881050 |
Practice Fax Number | 5049881763 |
Mailing Telephone | 5049881050 |
Mailing Fax Number | 5049881763 |
Enumeration Date | 2015-09-25 |
Last Update Date | 2015-09-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | CLP.204288-SPE | LA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073028379 | Mary Phelan | Case Manager/Care Coordinator | 330 Delaware Ave, Buffalo, NY 14202-1804 | 2017-12-08 |
1366818239 | Mary Kathleen Phelan | Physical Therapist | 345 E Superior St, Chicago, IL 60611-2654 | 2015-08-14 |
1295082881 | Mary M. Phelan | Occupational Therapist | 4750 Wesley Ave, Norwood, OH 45212-2244 | 2012-08-14 |
1356580112 | Mary P. Phelan | Skilled Nursing Facility | 590 6th Ave, New York, NY 10011-2019 | 2009-02-18 |
1164660627 | Mary Catherine Phelan | Specialist | 16500 Se 15th St, Suite 160, Vancouver, WA 98683-9665 | 2009-01-21 |
1790793321 | Mary T Phelan | Nurse Practitioner | 85 High St, Buffalo, NY 14203 | 2006-08-03 |
Street Address |
1430 TULANE AVE SL31 |
City | NEW ORLEANS |
State | LA |
Zip Code | 70112-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578536694 | Robert Hopkins | Pediatrics | 1430 Tulane Ave, Sl37, New Orleans, LA 70112-2632 | 2006-02-09 |
1801409701 | Tarek Ayoub | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, Fellows Office (tarek Ayoub), New Orleans, LA 70112 | 2020-08-28 |
1457979213 | Tse Chiang Chen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112 | 2020-07-08 |
1467073320 | Claire Elaine Mickey | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-05-01 |
1215558465 | Bryan Jacob Lynn | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-29 |
1114556438 | Shana Zucker | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-07 |
1417586058 | Christian D Huebner | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-06 |
1124657069 | Christina Gupfinger | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-03 |
1639708324 | Natasha Ladane Rezvani | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-04-03 |
1528695053 | Jacob Elias Khoury | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2020-03-25 |
Find all providers in the same location |
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 | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669633541 | Evangeline Rachel Hall Franklin | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
1396906277 | New Orleans East Family Health Care Center | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992072953 | Acceptance Kidmed of La LLC | Medical Genetics, Ph.D. Medical Genetics | 947 N Bon Marche Dr, 107, Baton Rouge, LA 70806-8833 | 2011-11-18 |
1417289711 | Acceptance Community Care Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 15142 Mary Elizabeth Dr, Baton Rouge, LA 70816-9043 | 2010-02-11 |
1851420756 | Faith S. Rickert | Medical Genetics, Ph.D. Medical Genetics | 1705 Viola St., Mandeville, LA 70448 | 2007-03-05 |
1003978545 | Amite Physical Therapy | Medical Genetics, Ph.D. Medical Genetics | 216 N 2nd St, Amite, LA 70422-2408 | 2006-12-14 |
1578517066 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-05-20 |
1295714624 | Johnetta Renee Hall | Medical Genetics, Ph.D. Medical Genetics | 915 Ann St, New Iberia, LA 70560-5676 | 2006-01-13 |
1982981320 | Accent Urgent Care Clinic LLC | Medical Genetics, Ph.D. Medical Genetics | 1821 Wooddale Ct, Suite 203, Baton Rouge, LA 70806-1535 | 2011-11-14 |
1245463710 | Acceptance Kidmed of Louisiana LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-08-31 |
1962644641 | Acceptance Physical Medicine & Rehab Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-03-27 |
1538306154 | Baton Rouge Walk In Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 4000 Gus Young Ave, Suite 104, Baton Rouge, LA 70802-1700 | 2009-01-20 |
Find all providers with the same taxonomy |
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.