DR. GLEB MEDVEDEV (NPI# 1114217858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114217858 |
| Entity Type | Individual |
| Full Name | DR. GLEB MEDVEDEV |
| Credential | M.D. |
| Practice Address |
1430 Tulane Ave # 8632 New Orleans LA 70112-2632 |
| Practice Telephone | 5049886032 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 306012 | LA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
306012 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1430 TULANE AVE # 8632 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679790554 | Wendell Heard | Orthopaedic Surgery | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2007-04-20 |
| 1235766395 | Mccayn Mcdaniel Familia | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2020-03-26 |
| 1285261388 | Corinne Sommi | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2020-03-26 |
| 1780211854 | Jonathan Schuon | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2020-03-26 |
| 1427510718 | John Mark Weldy | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2019-04-04 |
| 1154815504 | Wendell Wilson Cole IIi | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2018-06-19 |
| 1982109039 | Barrett James Hawkins | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2018-03-29 |
| 1407350184 | Michael Iloanya | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave # 8632, New Orleans, LA 70112-2632 | 2018-03-19 |
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306377189 | Donald C. Faust, Md | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2017-03-23 |
| 1700282704 | Lmg, LLC | Orthopaedic Surgery | 2731 Napoleon Ave, New Orleans, LA 70115-6913 | 2014-11-18 |
| 1396069308 | Katherine Faust | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2010-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316146228 | Orthopaedic Sports Specialists of Louisiana LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5051 | 2007-07-12 |
| 1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
| 1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
| 1033633284 | Allen T. Borne, M.d., LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2017-07-31 |
| 1326485319 | Matthew Rand Mccarley | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2013-05-30 |
| 1487949483 | Brent Van Mccarty | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Covington, LA 70433-9167 | 2011-06-17 |
| 1578855896 | Allen T Borne | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2011-05-04 |
| 1902079759 | Carol Durham Meyer | Orthopaedic Surgery | 4228 Houma Blvd, Suite600b, Metairie, LA 70006-3000 | 2008-04-11 |
| 1457520801 | Martin Joseph Degravelle Jr. | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2008-02-29 |
| 1174662936 | John Christian Hildenbrand Iv | Orthopaedic Surgery | 726 N Acadia Rd, Suite 1000, Thibodaux, LA 70301-5009 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
Please comment or provide details below to improve the information on DR. GLEB MEDVEDEV.
| 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.