DR. JOHN GIBSON FASICK (NPI# 1235105693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235105693 |
| Entity Type | Individual |
| Full Name | DR. JOHN GIBSON FASICK |
| Credential | DPM |
| Practice Address |
3901 Houma Blvd Suite 108 Metairie LA 70006-2930 |
| Practice Telephone | 5043011749 |
| Practice Fax Number | 5043019451 |
| Mailing Telephone | 5043011749 |
| Mailing Fax Number | 5043019451 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PD284R | LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1561410 | 05 |
| Street Address |
3901 HOUMA BLVD SUITE 108 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014131 | Century 2 Therapy Division Street Center, LLC | Rehabilitation Practitioner | 3901 Houma Blvd, Ste 113, Metairie, LA 70006-2930 | 2005-06-23 |
| 1942741848 | Berry's Community Services | Community/Behavioral Health | 3901 Houma Blvd, Metairie, LA 70006-2930 | 2017-03-13 |
| 1609312982 | Berrys Behavioral Health | Community/Behavioral Health | 3901 Houma Blvd, Ste 400, Metairie, LA 70006-2930 | 2017-01-11 |
| 1487040978 | Carol N. Fontenot Lcsw LLC | Social Worker | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2015-04-10 |
| 1710253836 | John G. Fasick Dpm LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2012-03-23 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1760766489 | Advanced Foot and Ankle Center LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2011-09-29 |
| 1538449772 | Tara S Rice | Nurse Practitioner | 3901 Houma Blvd, Ste. 202, Metairie, LA 70006-2930 | 2011-08-19 |
| 1598082083 | William Mark Caldwell | General Practice | 3901 Houma Blvd, #510, Metairie, LA 70006 | 2010-04-23 |
| 1821327651 | Metairie Health Center Inc | Family Medicine | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2009-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841483666 | Charles Anthony Caplis | Podiatrist | 2520 Harvard Ave Ste 2b, Metairie, LA 70001-1172 | 2007-08-24 |
| 1639190366 | Robert Jarrett Kadish | Podiatrist | 1521 N Causeway Blvd, Ste. A, Metairie, LA 70001-4135 | 2006-07-21 |
| 1144293853 | Maria Markiewicz | Podiatrist | 2520 Harvard Ave, Suite 2b, Metairie, LA 70001-1118 | 2006-02-12 |
| 1629060389 | Cyril Malvin Scully Jr. | Podiatrist | 3510 Severn Ave, Metairie, LA 70002-3444 | 2005-08-18 |
| 1255330551 | Marc Steven Glovinsky | Podiatrist | 3939 Houma Blvd, Bldg. 6, Suite 224, Metairie, LA 70006-2931 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063672327 | Edward Lang | Podiatrist | 2626 Jena St., New Orleans, LA 70115-6325 | 2008-06-11 |
| 1568651966 | Louisiana Medical Foot Center Associates Inc | Podiatrist | 110 Bellemeade Blvd, Suite A, Gretna, LA 70056-7142 | 2007-10-22 |
| 1386832822 | Dr Jonathan J Gisclair Apmc Dba Lafourche Podiatry Clinic | Podiatrist | 16148 W Main St, Cut Off, LA 70345-3511 | 2007-10-10 |
| 1467675124 | Baton Rouge Foot Care, PC | Podiatrist | 8160 Ymca Plaza Dr Ste C, Baton Rouge, LA 70810-0916 | 2007-04-11 |
| 1104957695 | The Foot Clinic of West Louisiana | Podiatrist | 901 Shirley Street, Deridder, LA 70634 | 2007-03-08 |
| 1942384227 | Minden Foot Clinic, Inc | Podiatrist | 603 Fleming Ln, Minden, LA 71055-3073 | 2006-10-24 |
| 1639195639 | Darren Michael Vigee | Podiatrist | 985 Robert Blvd Ste 103, Slidell, LA 70458-2063 | 2006-07-14 |
| 1447289426 | Robert A. Arango | Podiatrist | 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 | 2006-07-01 |
| 1609836055 | Denardo Dolphin Dunham | Podiatrist | 7311 Downman Rd, New Orleans, LA 70126-1213 | 2006-03-27 |
| 1437126786 | R. B. Drummond | Podiatrist | 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | 2006-03-07 |
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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.