WILLARD T DALTON JR. (NPI# 1124091475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124091475 |
| Entity Type | Individual |
| Full Name | WILLARD T DALTON JR. |
| Credential | MD |
| Practice Address |
8166 Main Street Houma LA 70360 |
| Mailing Address |
Po Box 6037 Houma LA 70361-6037 |
| Practice Telephone | 9858734141 |
| Practice Fax Number | 9858514307 |
| Mailing Telephone | 9858734235 |
| Mailing Fax Number | 9858514307 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2010-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
MD08126R | LA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD08126R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1389650 | 05 |
| Street Address |
8166 MAIN STREET |
| City | HOUMA |
| State | LA |
| Zip Code | 70360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518908 | Robert James Quinilty | Radiology | 8166 Main Street, Radiology Department, Houma, LA 70360 | 2005-06-16 |
| 1245731041 | Sara B Stark | Nurse Practitioner | 8166 Main Street, Suite 102, Houma, LA 70360 | 2018-02-27 |
| 1568622470 | Michael A Prejean | Anesthesiology | 8166 Main Street, Houma, LA 70360 | 2008-06-13 |
| 1720151491 | Christopher M Gaudet | Nurse Anesthetist, Certified Registered | 8166 Main Street, Houma, LA 70360 | 2006-11-17 |
| 1316023088 | Heidi B Rodrigue | Nurse Anesthetist, Certified Registered | 8166 Main Street, Houma, LA 70360 | 2006-10-27 |
| 1215012661 | Francis E Lewis | Anesthesiology | 8166 Main Street, Houma, LA 70360 | 2006-10-26 |
| 1558467175 | Tina M Samaha | Nurse Anesthetist, Certified Registered | 8166 Main Street, Houma, LA 70360 | 2006-09-15 |
| 1023111655 | Daniel M Whittington | Anesthesiology | 8166 Main Street, Houma, LA 70360 | 2006-09-07 |
| 1720018260 | Amanda R Valence | Dietitian, Registered | 8166 Main Street, Houma, LA 70360 | 2006-07-03 |
| 1013944065 | Kelly B Phillips | Dietitian, Registered | 8166 Main Street, Houma, LA 70360 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922252576 | Supriya Rao Donthamsetty | Pathology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2008-11-10 |
| 1568543296 | Steven D Kraus | Pathology | 1978 Industrial Blvd, Pathology Dept., Houma, LA 70363-7055 | 2006-10-18 |
| 1396781290 | Steven D Kraus Md Apmc | Pathology | 1978 Industrial Blvd, Pathology Dept., Houma, LA 70363-7055 | 2006-06-21 |
| 1467490714 | Rebecca Leigh Boyd Whittemore | Pathology | 1990 Industrial Blvd, South Louisiana Medical Associates, Houma, LA 70363-7055 | 2006-06-02 |
| 1639150691 | Sudha G Pillarisetti | Pathology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2005-11-08 |
| 1003810474 | Gerard Anthony Bertolino | Pathology | 1990 Industrial Blvd, Houma, LA 70363-7055 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265827893 | Cacey William Peters | Pathology | 1430 Tulane Avenue Sl-79, New Orleans, LA 70112 | 2015-03-31 |
| 1679981658 | Crystal Trujillo | Pathology | 4648 I-10 Service Road, Metairie, LA 70001 | 2014-07-23 |
| 1811308455 | Ryan Bradbury Craig | Pathology | 1415 Tulane Ave Fl 2, New Orleans, LA 70112 | 2014-05-16 |
| 1356761977 | Stephanie Collier Moss | Pathology | 5904 Camphor St, Metairie, LA 70003-3634 | 2014-04-22 |
| 1407299076 | Josh Anthony Showalter | Pathology | 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503-2621 | 2013-04-12 |
| 1982964771 | Jack Don Holden | Pathology | 13967 Chenal Rd, Jarreau, LA 70749-3406 | 2012-05-25 |
| 1811296718 | Tong Yang | Pathology | 2306 Lemon St, Metairie, LA 70001-1021 | 2011-03-18 |
| 1699097360 | Alexandria Pathology Laboratory, LLC | Pathology | 3510 Parliament Ct, Alexandria, LA 71303-3135 | 2010-02-23 |
| 1548404841 | Dianne Kovacic | Pathology | 1601 Perdido St Rm 10g-167, Slvhcs Dept of Pathology, New Orleans, LA 70112-1262 | 2009-04-30 |
| 1346484235 | Theresa Jeanne Nuttli | Pathology | 520 Ridgewood Dr, Metairie, LA 70001-6126 | 2009-04-23 |
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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.