ANDREW WILLIAM GOTTSCHALK (NPI# 1184745952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184745952 |
Entity Type | Individual |
Full Name | ANDREW WILLIAM GOTTSCHALK |
Credential | M.D. |
Practice Address |
1201 S Clearview Pkwy Ste 104 Jefferson LA 70121-1015 |
Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
Practice Telephone | 5047364800 |
Mailing Telephone | 5048424000 |
Enumeration Date | 2007-04-02 |
Last Update Date | 2015-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD208145 | LA | Allopathic & Osteopathic Physicians |
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
259369 | NY | Allopathic & Osteopathic Physicians |
N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MD441388 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 102534788 | 05 | |
NY | 03296595 | 05 | |
LA | 2402706 | 05 | |
MN | 778143000 | 05 | |
MS | 00709541 | 05 |
Street Address |
1201 S CLEARVIEW PKWY STE 104 |
City | JEFFERSON |
State | LA |
Zip Code | 70121-1015 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598389488 | Jacquelyn Kate Nelson | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2020-06-05 |
1033764766 | Tara P Sosa | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2019-08-08 |
1164082772 | Ochsner Clinic LLC | Internal Medicine | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2019-06-17 |
1982190591 | Jordan Elizabeth Blough | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2018-07-06 |
1629599014 | Frank Raymond Decarlo Iv | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2017-07-06 |
1598211963 | Eric Kastrup | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2016-08-26 |
1427502756 | Payton Kingsley | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2016-08-03 |
1033570585 | Sara Schexnayder | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2016-03-11 |
1912377110 | Amber Petrey | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2015-09-30 |
1114393964 | Kacie Edwards | Specialist/Technologist | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2015-08-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437772191 | Carlos Andres Cevallos | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2020-05-28 |
1497375257 | Vipin Varghese | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Hwy, Bh 629, New Orleans, LA 70121 | 2020-04-22 |
1790255396 | Irianne Nicholas | Specialist/Technologist | 1201 South Clearview Parkway, Jefferson, LA 70121 | 2018-11-27 |
1225504889 | George Andrews | Orthopaedic Surgery | Ochsner Health System, 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-10-22 |
1295213494 | Shima Abdulhameed A Aziz | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Ochsner Clinic Foundation, New Orleans, LA 70121 | 2018-07-31 |
1396238721 | Treasure S Lucas | Case Manager/Care Coordinator | 827 Causeway Blvd Ste 206, Jefferson, LA 70121 | 2018-06-11 |
1396240909 | Jasmine Kaur Bahd | Student in an Organized Health Care Education/Training Program | 1401 Jefferson Highway, Academic Center 1st Floor, New Orleans, LA 70121 | 2018-03-26 |
1649774480 | William Shamus Rohn | Student in an Organized Health Care Education/Training Program | 137 Jules Ave, Jefferson, LA 70121 | 2018-03-19 |
1295262665 | Uday Shanker Nadimpally | Student in an Organized Health Care Education/Training Program | Ochsner Clinic Foundation, 1514, Jefferson Hwy, New Orleans, LA 70121 | 2017-05-17 |
1700324084 | Magnolia Community Services, Inc | Intermediate Care Facility, Mentally Retarded | 821 Jefferson Heights Ave., Jefferson, LA 70121 | 2017-02-07 |
Find all providers in zip 70121 |
Taxonomy Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568851962 | University of Louisiana of Monroe | Family Medicine | 308 Warhawk Way, Monroe, LA 71209-0001 | 2015-01-22 |
1497768147 | Rani G Whitfield | Family Medicine | 429 East Airport Dr., Suite 4, Baton Rouge, LA 70806 | 2006-08-14 |
1962474064 | Amanda Ruth Phillips-savoy | Family Medicine | 204 Energy Pkwy, Suite B, Lafayette, LA 70508-3816 | 2006-02-02 |
1538703335 | Center for Orthopaedics and Spine LLC | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-11-05 |
1861881435 | Nicholls State University | Family Medicine | 906 E 1st St, Thibodaux, LA 70301-6701 | 2015-01-20 |
1295155778 | Alex Anderson | Family Medicine | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2014-04-23 |
1558658211 | Travis Steven Currie | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2011-07-01 |
1700065323 | The Bond Group | Family Medicine | 913 S College Rd, Suite 106, Lafayette, LA 70503-3060 | 2007-10-31 |
1790983807 | Brian Joseph Lindenmayer | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2007-07-10 |
1710184965 | The Bond Group, LLC | Family Medicine | 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 | 2007-06-29 |
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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.