BONE & JOINT CLINIC (NPI# 1174522122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174522122 |
| Entity Type | Organization |
| Organization Name | BONE & JOINT CLINIC |
| Practice Address |
4633 Wichers Dr Marrero LA 70072-3002 |
| Mailing Address |
2600 Belle Chasse Hwy Suite I Terrytown LA 70056-7156 |
| Practice Telephone | 5043475421 |
| Practice Fax Number | 5043789331 |
| Mailing Telephone | 5043917670 |
| Mailing Fax Number | 5043789439 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2008-05-08 |
| Authorized Official Name | DANIEL J GALLAGHER (SECRETARY) |
| Authorized Official Telephone | 5043475421 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE NSC | 0222340001 | 01 |
| LA | 1109347 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659455673 | Bone & Joint Clinic | Physician Assistant | 2600 Belle Chasse Hwy, Suite I, Terrytown, LA 70056-7156 | 2006-10-25 |
| 1710095690 | Bone & Joint Clinic | Orthopaedic Surgery | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2006-08-29 |
| Street Address |
4633 WICHERS DR |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821574328 | Carmen Carmouche | Physical Therapist | 4633 Wichers Dr, Marrero, LA 70072-3002 | 2018-07-17 |
| 1235536723 | Lmg, LLC | Pain Medicine | 4633 Wichers Dr, Marrero, LA 70072-3002 | 2014-11-26 |
| 1053570333 | Connie Frost | Physical Therapist | 4633 Wichers Dr, Marrero, LA 70072-3002 | 2008-06-03 |
| 1881877066 | Nautilus Rehabilitation | Clinic/Center | 4633 Wichers Dr, Marrero, LA 70072-3002 | 2007-12-11 |
| 1164526174 | Bone & Joint Physical Therapy Services | Clinic/Center | 4633 Wichers Dr, Marrero, LA 70072-3002 | 2006-09-11 |
| 1558475210 | Surgical Specialty Associates LLC | Clinic/Center | 4633 Wichers Dr, Suite 200, Marrero, LA 70072-3002 | 2006-08-19 |
| 1811929656 | Roderick Stewart Boyd | Physical Therapist | 4633 Wichers Dr, Marrero, LA 70072-3064 | 2006-07-06 |
| 1437186178 | Daniel James Gallagher | Orthopaedic Surgery | 4633 Wichers Dr, Marrero, LA 70072-3064 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1669421533 | Mark Juneau Jr. | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2006-05-09 |
| 1104892991 | Ralph P Katz | Orthopaedic Surgery | 1301 Barataria Blvd, Marrero, LA 70072-3703 | 2006-02-23 |
| 1225220551 | Wesley Allen Clark | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2007-08-10 |
| 1912197575 | Barton Lloyd Wax | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2007-07-30 |
| 1336288752 | L Thomas Cashio Md & Mark Juneau Jr Md,pc | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2007-02-05 |
| 1437186178 | Daniel James Gallagher | Orthopaedic Surgery | 4633 Wichers Dr, Marrero, LA 70072-3064 | 2006-06-27 |
| 1407806748 | Matthew R Grimm | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2006-05-10 |
| 1295785681 | Lucas Thomas Cashio | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2006-05-10 |
| 1760458566 | Chris J Digrado | Orthopaedic Surgery | 1301 Barataria Blvd, Marrero, LA 70072-3703 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897743 | Highland Clinic, A Prof Med Corp | Orthopaedic Surgery | 5025 Shed Rd, Bossier City, LA 71111-5434 | 2020-09-24 |
| 1437770435 | Cwd LLC | Orthopaedic Surgery | 2600 Belle Chasse Hwy Ste I, Terrytown, LA 70056-7156 | 2020-04-30 |
| 1982224556 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 376 Cocoville Rd, Mansura, LA 71350-4264 | 2020-04-23 |
| 1962041954 | James R Lafleur | Orthopaedic Surgery | 122 Wembley Rd, Lafayette, LA 70503-3567 | 2019-12-23 |
| 1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
| 1467935965 | Marco Rodriguez Md LLC | Orthopaedic Surgery | 606 Colonial Dr Ste A, Baton Rouge, LA 70806-6535 | 2018-09-11 |
| 1114438140 | Oano LLC | Orthopaedic Surgery | 3434 Prytania St Ste 430, New Orleans, LA 70115-3525 | 2017-10-17 |
| 1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
| 1164961975 | Lmg LLC | Orthopaedic Surgery | 14041 Highway 90, Boutte, LA 70039-3511 | 2017-02-14 |
| 1205385796 | Mid State Orthopaedic & Sports Medicine Center LLC | Orthopaedic Surgery | 601 W Lafayette St, Winnfield, LA 71483-3451 | 2016-09-26 |
| Find all providers with the same taxonomy | ||||
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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.