GULF COAST MEDICAL SPECIALISTS LLC (NPI# 1205459732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205459732 |
| Entity Type | Organization |
| Organization Name | GULF COAST MEDICAL SPECIALISTS LLC |
| Practice Address |
1620 Belle Chasse Hwy Suite 101 Gretna LA 70056 |
| Practice Telephone | 5042658304 |
| Practice Fax Number | 5043094193 |
| Mailing Telephone | 5042658304 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | DR. SHIBU VARUGHESE (OWNER/MEMBER/AGENT) |
| Authorized Official Telephone | 5042658304 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gulf Coast Medical Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1101 Medical Center Blvd, Marrero, LA 700723147 | 5043475511 |
| Street Address |
1620 BELLE CHASSE HWY SUITE 101 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| 1598289399 | Nuvision Behavioral Health | Community/Behavioral Health | 1799 Stumpf Blvd Bldg 2 Ste 4 A, Terrytown, LA 70056 | 2017-08-02 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205011517 | Zia Rehman Khan | Internal Medicine | 1120 Newton St, Gretna, LA 70053-6340 | 2008-01-04 |
| 1558572446 | Kendria E. Holt-rogers | Internal Medicine | 501 Lapalco Blvd, Gretna, LA 70056-7336 | 2007-05-24 |
| 1902955990 | Betty Jean Dowty | Internal Medicine | 548 Lapalco Blvd, Gretna, LA 70056-7305 | 2007-01-09 |
| 1235295551 | Hai Nam Nguyen | Internal Medicine | 1221 Amelia St, Gretna, LA 70053-5533 | 2006-12-29 |
| 1508963968 | Dyess Medical Center Incorporated | Internal Medicine | # 12 Westside Expressway, Gretna, LA 70053 | 2006-09-20 |
| 1386749653 | James Malcolm Dyess | Internal Medicine | 12 Westbank Expy, Gretna, LA 70053-3647 | 2006-09-13 |
| 1992762603 | Christy Lynn Valentine | Internal Medicine | 145 Lapalco Blvd, Suite B, Gretna, LA 70056-7149 | 2006-04-27 |
| 1023086287 | Sarath Bose Battula | Internal Medicine | 2500 Belle Chasse Hwy., Gretna, LA 70056 | 2006-03-14 |
| 1740276229 | Ralph F Cameron | Internal Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2005-09-21 |
| 1548255979 | Everett Wade Brown | Internal Medicine | 2600 Belle Chasse Hwy. Ste. B-2, B-2, Gretna, LA 70056 | 2005-09-12 |
| Find all providers in GRETNA | ||||
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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.