DWAN SHIRMELLE MABRY (NPI# 1104822782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104822782 |
Entity Type | Individual |
Full Name | DWAN SHIRMELLE MABRY |
Other Name | DAWN SHIRMELLE MABRY |
Credential | M.D. |
Practice Address |
15748 Medical Arts Dr Hammond LA 70403-1446 |
Practice Telephone | 9855420663 |
Practice Fax Number | 9855427010 |
Mailing Telephone | 9855420663 |
Mailing Fax Number | 9855427010 |
Enumeration Date | 2005-06-28 |
Last Update Date | 2013-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD.022096 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1491853 | 05 |
Street Address |
15748 MEDICAL ARTS DR |
City | HAMMOND |
State | LA |
Zip Code | 70403-1446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495665 | William Geyman Black | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2005-05-24 |
1366050809 | Marissa Cannon | Nurse Practitioner | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2020-07-21 |
1104223833 | Christina Clark Martin | Dietitian, Registered | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2014-11-24 |
1114279585 | Ideal Me of Hammond, LLC | Clinic/Center | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-10-10 |
1710239017 | North Oaks Obstetrics & Gynecology | Dietitian, Registered | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-10-10 |
1770858011 | Kimberly Nicole Hodge | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-03-20 |
1528229309 | April Austin Sandifer | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2008-06-24 |
1659427417 | Vickie Tessitore Matherne | Advanced Practice Midwife | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2007-01-26 |
1265585467 | Amy Priez Linn | Advanced Practice Midwife | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2007-01-19 |
1659313245 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2006-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
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Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396897062 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15778 Medical Arts Plaza, Hammond, LA 70403 | 2007-01-16 |
1740283258 | Charles Markham Berry IIi | Obstetrics & Gynecology | 42333 Deluxe Plz, Suite 7, Hammond, LA 70403-1239 | 2005-05-30 |
1740504042 | Timothy J. Mooney, M.d., L.L.C. | Obstetrics & Gynecology | 42333 Deluxe Plz, Suite 7, Hammond, LA 70403-1239 | 2010-03-16 |
1215251590 | C. Markham Berry IIi, M.d., L.L.C. | Obstetrics & Gynecology | 42333 Deluxe Plz, Suite 7, Hammond, LA 70403-1239 | 2010-03-16 |
1295732774 | Timothy J Mooney | Obstetrics & Gynecology | 42333 Deluxe Plz, Suite 7, Hammond, LA 70403-1239 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659881720 | Myron E Moorehead Md Apmc | Obstetrics & Gynecology | 200 W Esplanade Ave Ste 311, Kenner, LA 70065-2474 | 2017-10-03 |
1669722930 | Frank Jack George | Obstetrics & Gynecology | 129 Rue Les Bois, Madisonville, LA 70447 | 2012-09-14 |
1548549868 | L. Weather, Md Apc | Obstetrics & Gynecology | 2120 Bert Kouns Loop Ste C, Suite C, Shreveport, LA 71118-3351 | 2011-08-04 |
1699069674 | Joseph Wayne Smith | Obstetrics & Gynecology | 2761 Point Dr, Monroe, LA 71201-2435 | 2011-06-07 |
1508009978 | Joia Adele Crear Md LLC | Obstetrics & Gynecology | 170 Broadway St, Suite, New Orleans, LA 70118-6709 | 2009-04-14 |
1184838310 | Fertilityanswers, LLC | Obstetrics & Gynecology | 206 E Farrel Rd, Lafayette, LA 70508-7104 | 2007-05-09 |
1083747265 | Karen F. Miller | Obstetrics & Gynecology | 10101 Siegen Ln, Suite 3b, Baton Rouge, LA 70810-4982 | 2007-03-14 |
1639201254 | Philip Hindelang | Obstetrics & Gynecology | Louisiana State University, Infirmary Road, Baton Rouge, LA 70803-0001 | 2007-03-09 |
1023151198 | James Gordon Gengelbach | Obstetrics & Gynecology | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2007-02-15 |
1902973092 | Lee Joseph Monlezun Jr. | Obstetrics & Gynecology | 801 W Bayon Pines Drive, Lake Charles, LA 70601 | 2006-11-30 |
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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.