ANDREW WILLIAM GOTTSCHALK


Address: 1201 S Clearview Pkwy, Ste 104, Jefferson, LA 70121-1015
Phone: 5047364800

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
PA 102534788 05
NY 03296595 05
LA 2402706 05
MN 778143000 05
MS 00709541 05

Office Location

Street Address 1201 S CLEARVIEW PKWY
STE 104
City JEFFERSON
State LA
Zip Code 70121-1015

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City JEFFERSON
Zip Code 70121

Improve Information

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Dataset Information

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.

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