DR. SUSAN F OVELLA (NPI# 1104836790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104836790 |
| Entity Type | Individual |
| Full Name | DR. SUSAN F OVELLA |
| Credential | MD |
| Practice Address |
804 Heavens Dr Ste 106 Mandeville LA 70471 |
| Mailing Address |
4700 Louisiana Hwy 22 Pmb604 Mandeville LA 70471 |
| Practice Telephone | 9858450004 |
| Practice Fax Number | 9858450611 |
| Mailing Telephone | 9858450004 |
| Mailing Fax Number | 9858450870 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23081 | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 23081 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE RAILROAD ID | P00148566 | 01 |
| MS | 08687793 | 05 | |
| LA | 1491110 | 05 |
| Street Address |
804 HEAVENS DR STE 106 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853401 | Edward Langlow | Ophthalmology | 804 Heavens Dr, Suite 102, Mandeville, LA 70471-2890 | 2005-07-05 |
| 1912107962 | Northshore Allergy & Immunology, LLC | Allergy & Immunology | 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890 | 2007-07-18 |
| 1295957488 | Edward P. Langlow Md Apmc | Ophthalmology | 804 Heavens Dr, Suite 102, Mandeville, LA 70471-2890 | 2007-05-03 |
| 1740303056 | Jennifer Denise Mcgrew | Specialist/Technologist, Other | 804 Heavens Dr, Suite 201, Mandeville, LA 70471-2890 | 2007-04-10 |
| 1972513117 | Med-peds Associates Apmc | Family Medicine | 804 Heavens Dr, Suite 106, Mandeville, LA 70471 | 2006-08-09 |
| 1164490330 | Richard J Guillot | Allergy & Immunology | 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| 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 |
|---|---|---|---|---|
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1265845069 | A-1 Internal Medicine LLC | Internal Medicine | 533 Carroll St, Mandeville, LA 70448-5108 | 2014-06-09 |
| 1265867568 | Jacqueline Provosty Guillot | Internal Medicine | 717 N Beau Chene Dr, Mandeville, LA 70471-1615 | 2013-09-05 |
| 1003176868 | John Edward Ball Sr. | Internal Medicine | 59 Barbados Ct E, Mandeville, LA 70448 | 2012-05-25 |
| 1790082204 | Landers Internal Medicine, LLC | Internal Medicine | 507 Evergreen Dr, Mandeville, LA 70448-7574 | 2011-02-17 |
| 1639328578 | Kelly G Burkenstock Md A Professional Medical Corporation | Internal Medicine | 2040 N Causeway Blvd, Mandeville, LA 70471-3116 | 2008-09-16 |
| 1679769632 | Complementary Medical Services | Internal Medicine | 4408 Highway 22, Mandeville, LA 70471-3310 | 2007-09-23 |
| 1841329240 | John Petty Mcnulty | Internal Medicine | 4410 Highway 22, Mandeville, LA 70471-3310 | 2007-03-04 |
| 1710905856 | Charles E. Baier | Internal Medicine | 201 St. Ann Dr., Suite B, Mandeville, LA 70471 | 2006-07-17 |
| 1679565899 | Ronald John Kluchin | Internal Medicine | 784 Asbury Dr, Mandeville, LA 70471-1844 | 2005-08-16 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
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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.