MR. DANIEL J BURST (NPI# 1063648525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063648525 |
| Entity Type | Individual |
| Full Name | MR. DANIEL J BURST |
| Credential | PA |
| Practice Address |
120 Meadowcrest St Suite 300 Gretna LA 70056-5255 |
| Mailing Address |
722 Central Ave Reserve LA 70084-5516 |
| Practice Telephone | 5043927123 |
| Practice Fax Number | 5043927823 |
| Mailing Telephone | 5043927123 |
| Mailing Fax Number | 5043927823 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200267 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 MEADOWCREST ST SUITE 300 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467769 | James P Marra | Specialist | 120 Meadowcrest St, Ste 380, Gretna, LA 70056-5281 | 2005-06-15 |
| 1851852362 | Monica Idoyaga | Nurse Practitioner | 120 Meadowcrest St, Ste 245, Gretna, LA 70056-5280 | 2019-03-27 |
| 1205379203 | Jamila Mathews | Nurse Practitioner | 120 Meadowcrest St, Gretna, LA 70056-5255 | 2016-11-22 |
| 1487084943 | Capital City Medical Group, LLC | Internal Medicine | 120 Meadowcrest St, Suite 120, Gretna, LA 70056-5255 | 2013-11-20 |
| 1336487206 | Lupin Womens Health Services, LLC | Obstetrics & Gynecology | 120 Meadowcrest St, Suite 350, Gretna, LA 70056-5255 | 2013-01-28 |
| 1700144102 | Kim Phung Thi Nguyen | Pharmacist | 120 Meadowcrest St, Suite 150, Gretna, LA 70056-5255 | 2012-04-24 |
| 1962702175 | Daniel A Long Md A Professional Medical Corporation | Clinic/Center | 120 Meadowcrest St, #330, Gretna, LA 70056-5255 | 2010-10-22 |
| 1205064631 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 120 Meadowcrest St, Gretna, LA 70056-5255 | 2009-06-24 |
| 1518100312 | Crescent City Dermatology, LLC | Dermatology | 120 Meadowcrest St, Suite 460, Gretna, LA 70056-5255 | 2009-04-09 |
| 1841431038 | Teri C Bairnsfather | Audiologist | 120 Meadowcrest St, Suite 200, Gretna, LA 70056-5255 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972919041 | Cherisa Anne Meyer-fletcher | Physician Assistant | 21317 Mcclellan Cir, Gretna, NE 68028-3962 | 2014-07-09 |
| 1427483130 | Antonio J Lopez | Physician Assistant | 124 Barnes Ct, Gretna, LA 70056-8635 | 2013-09-12 |
| 1588961403 | Brittany D Booth | Physician Assistant | 100 Dolhonde St, Gretna, LA 70053-5801 | 2011-02-14 |
| 1962456202 | Sarah Baugher Wallingford | Physician Assistant | 17160 Middle Ln, Gretna, NE 68028-6572 | 2006-05-20 |
| 1043475759 | Juanita Alexander-sallier | Physician Assistant | 145 Lapalco Blvd, Suite B, Gretna, LA 70056-7149 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
| 1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
| 1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
| 1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
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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.