DR. MARY BROOKES EZELL (NPI# 1215105853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215105853 |
| Entity Type | Individual |
| Full Name | DR. MARY BROOKES EZELL |
| Credential | M.D. |
| Practice Address |
1430 Tulane Ave # Sl-54 New Orleans LA 70112-2632 |
| Mailing Address |
1118 Orange St Apt 1 New Orleans LA 70130-4735 |
| Practice Telephone | 5049882651 |
| Mailing Telephone | 5046104137 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.201394 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427510957 | Mary Ezell | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-04-03 |
| Street Address |
1430 TULANE AVE # SL-54 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881797165 | Tulane University Health Sciences Center | Radiology | 1430 Tulane Ave # Sl-54, New Orleans, LA 70112-2632 | 2006-09-05 |
| 1366625725 | Ewa Wasilewska | Radiology | 1430 Tulane Ave # Sl-54, New Orleans, LA 70112-2632 | 2007-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912148917 | Kamau Foderingham | Radiology | 2534 Marengo St, Apt A, New Orleans, LA 70115-6210 | 2009-03-20 |
| 1003084971 | Leslee Cook Mcnabb | Radiology | 7803 Panola St, New Orleans, LA 70118-4242 | 2008-02-13 |
| 1174710339 | Thomas Irwin Efird | Radiology | 1525 8th St, New Orleans, LA 70115-3338 | 2007-10-01 |
| 1437366705 | Errol Ford Genet | Radiology | 19 Pinehurst Dr, New Orleans, LA 70131-3354 | 2007-05-17 |
| 1881797165 | Tulane University Health Sciences Center | Radiology | 1430 Tulane Ave # Sl-54, New Orleans, LA 70112-2632 | 2006-09-05 |
| 1508870783 | Stephanie D. Casey | Radiology | 2020 Gravier St Fl 7, Department of Radiology, Lsu Health Sciences Center, New Orleans, LA 70112-2272 | 2006-07-27 |
| 1467475384 | Joseph Dean Reid | Radiology | Radiology, 2020 Gravier Street, New Orleans, LA 70112 | 2006-07-25 |
| 1609899384 | Leonard Robert Bok | Radiology | 2020 Gravier St Rm 755, New Orleans, LA 70112-2272 | 2006-07-25 |
| 1790739944 | David Bret Chalpin | Radiology | 1542 Tulane Avenue, Room 353, Lsu Health Sciences Center, Department of Radiology, New Orleans, LA 70112 | 2006-05-20 |
| 1356314116 | Martin Benjamin Flamm | Radiology | 7311 Hurst St, New Orleans, LA 70118 | 2006-02-10 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.