ZANE ASHTON KIRBY (NPI# 1164730495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164730495 |
| Entity Type | Individual |
| Full Name | ZANE ASHTON KIRBY |
| Credential | PA-C |
| Practice Address |
1150 Robert Blvd Suite 100 Slidell LA 70458-2005 |
| Mailing Address |
1150 Robert Blvd. Suite 100 Slidell LA 70458-2005 |
| Practice Telephone | 9856461122 |
| Practice Fax Number | 8884640738 |
| Mailing Telephone | 9856461122 |
| Mailing Fax Number | 8884640738 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200384 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RRMCARE THRU PEPA | P00309913 | 01 |
| LA | 2139002 | 05 |
| Street Address |
1150 ROBERT BLVD SUITE 100 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950346 | Madaelil George Thomas | Specialist | 1150 Robert Blvd, Suite 340, Slidell, LA 70458-2004 | 2005-05-24 |
| 1861006777 | Ochsner Clinic LLC | Internal Medicine | 1150 Robert Blvd, Slidell, LA 70458-2004 | 2020-09-08 |
| 1124592852 | Travis Mark Dauzat Sr. | Specialist/Technologist, Other | 1150 Robert Blvd, Slidell, LA 70458-2004 | 2019-01-16 |
| 1053843292 | Stacy Blackwell Maggio | Specialist/Technologist, Other | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2004 | 2017-03-28 |
| 1821458134 | James C Butler | Exclusive Provider Organization | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2005 | 2016-02-29 |
| 1942675053 | Carmen N. Daddona | Specialist/Technologist, Other | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2004 | 2015-12-01 |
| 1679909873 | Matthew Joseph Bassett | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2013-09-19 |
| 1730446014 | Li Sun | Internal Medicine | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2012-04-11 |
| 1568764124 | Northlake Cardiology Diagnostics LLC | Specialist | 1150 Robert Blvd, Suite 340, Slidell, LA 70458-2004 | 2010-12-02 |
| 1942465596 | Frederick L. Keppel M.d. P.m.c | Specialist | 1150 Robert Blvd, 100, Slidell, LA 70458-2004 | 2008-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386874337 | Aaron Scott Brasuell | Physician Assistant | 2780 Gause Blvd E Ste A, Slidell, LA 70461-4149 | 2009-07-23 |
| 1477983856 | Emily Anderson Bassett | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2013-11-20 |
| 1679909873 | Matthew Joseph Bassett | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2013-09-19 |
| 1962707455 | Feizal Fakier Jr. | Physician Assistant | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2011-01-14 |
| 1689892812 | Kristin Ann Pippin | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2007-04-23 |
| 1770642860 | Christopher Scott Grow | Physician Assistant | 2250 Gause Blvd E, Suite 200, Slidell, LA 70461-4235 | 2006-12-06 |
| 1851360184 | Emergency Group of St Tammany LLC | Physician Assistant | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2006-03-17 |
| 1508854993 | Misty Melerine Breakfield | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2005-10-10 |
| 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.