CARL F CULICCHIA (NPI# 1184669772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184669772 |
| Entity Type | Individual |
| Full Name | CARL F CULICCHIA |
| Credential | MD |
| Practice Address |
1111 Medical Center Blvd Ste 5 750 Marrero LA 70072 |
| Practice Telephone | 5043406976 |
| Practice Fax Number | 5043496786 |
| Mailing Telephone | 5043406976 |
| Mailing Fax Number | 5043496786 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | L007087 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 105912 | 05 |
| Street Address |
1111 MEDICAL CENTER BLVD STE 5 750 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
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| 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 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881934057 | Erich O Richter Md A Professional Medical LLC | Neurological Surgery | 4700 Wichers Dr Ste 202, Marrero, LA 70072-3054 | 2013-02-25 |
| 1336330463 | Justin L Owen | Neurological Surgery | 1111 Medical Center Blvd, Ste S750, Marrero, LA 70072 | 2007-08-05 |
| 1366488462 | John C Steck | Neurological Surgery | 1111 Medical Center Blvd., Suite S750, Marrero, LA 70072 | 2006-06-20 |
| 1356386940 | Frank Culicchia | Neurological Surgery | 1111 Medical Center Blvd., Suite S750, Marrero, LA 70072 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880010 | Koga LLC | Neurological Surgery | 187 Greenbrier Blvd Ste A, Covington, LA 70433-7299 | 2020-01-10 |
| 1770124133 | Neuroglympse, LLC | Neurological Surgery | 49 Hummingbird Rd, Covington, LA 70433-4505 | 2019-10-07 |
| 1063927838 | Total Joint Cin of Louisiana LLC | Neurological Surgery | 2117 Veterans Memorial Blvd Unit 421, Metairie, LA 70002-6321 | 2017-12-02 |
| 1861905291 | Spinemark Baton Rouge Clinic LLC | Neurological Surgery | 455 E Airport Ave, Baton Rouge, LA 70806-4832 | 2017-11-07 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1144681800 | Hill Country Monitoring LLC | Neurological Surgery | 650 Poydas St, Ste 1400, New Orleans, LA 70130 | 2016-03-09 |
| 1184028367 | Arthur Wang | Neurological Surgery | 1430 Tulane Ave # 8047, New Orleans, LA 70112-2632 | 2014-10-16 |
| 1790026789 | Jillian Ann Ploof | Neurological Surgery | 8200 Constantin Blvd Fl 1, Baton Rouge, LA 70809-3481 | 2013-03-15 |
| 1669730313 | Matthew Ryan Burton | Neurological Surgery | 2770 3rd Ave Ste 110, Lake Charles, LA 70601-0404 | 2012-05-01 |
| 1215294947 | Aaron Charles Sigler | Neurological Surgery | 15770 Paul Vega Md Dr Ste 204, Hammond, LA 70403-1475 | 2012-04-19 |
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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.