RENICK P WEBB MD A PROFESSIONAL MEDICAL CORPORATION (NPI# 1235129883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235129883 |
Entity Type | Organization |
Organization Name | RENICK P WEBB MD A PROFESSIONAL MEDICAL CORPORATION |
Practice Address |
221 Windermere Blvd Alexandria LA 71303-3538 |
Practice Telephone | 3184439773 |
Practice Fax Number | 3184439799 |
Mailing Telephone | 3184439773 |
Mailing Fax Number | 3184439799 |
Enumeration Date | 2005-10-25 |
Last Update Date | 2011-10-31 |
Authorized Official Name | RENICK P WEBB (PRESIDENT) |
Authorized Official Telephone | 3184273300 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 017368 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1440094 | 05 |
Street Address |
221 WINDERMERE BLVD |
City | ALEXANDRIA |
State | LA |
Zip Code | 71303-3538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619967254 | Paul A Guillory Md A Professional Medical Corporation | Otolaryngology | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2005-10-25 |
1366086019 | Jerri Jenelle Sharp | Hearing Instrument Specialist | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2019-11-05 |
1164996815 | Melissa Brown | Physical Therapist | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2019-01-16 |
1851893796 | April Baum Roach | Nurse Practitioner | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2018-03-07 |
1396151882 | Daniel Blaize Noel | Otolaryngology | 221 Windermere Blvd, Alexandria, LA 71303 | 2014-07-07 |
1457791782 | Shannon Margaret Knight | Nurse Practitioner | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2013-07-01 |
1659719664 | Larry Wayne Rachal Jr. | Nurse Practitioner | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2013-06-12 |
1073852141 | Lori Brister | Nurse Practitioner | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2013-02-08 |
1902188840 | Sarah Michelle Johnson | Audiologist-Hearing Aid Fitter | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2011-09-16 |
1366736365 | Christian J. Wold Md LLC | Specialist | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2011-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
Find all providers in zip 71303 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598953846 | Estelle Sukyung Yoo | Otolaryngology | 2210 Mount Vernon Ave, Suite 205, Alexandria, VA 22301-1361 | 2007-10-11 |
1578531919 | Alicia Ruth Sanderson | Otolaryngology | 2616 Sherwood Hall Ln Ste 408, Alexandria, VA 22306-3154 | 2006-03-10 |
1619967254 | Paul A Guillory Md A Professional Medical Corporation | Otolaryngology | 221 Windermere Blvd, Alexandria, LA 71303-3538 | 2005-10-25 |
1669471751 | James A White IIi | Otolaryngology | 2920 Jackson Street, Alexandria, LA 71301 | 2005-07-20 |
1497280739 | It Is Ent, Pllc | Otolaryngology | 2210 Mount Vernon Ave, Suite 205, Alexandria, VA 22301-1361 | 2017-04-24 |
1396151882 | Daniel Blaize Noel | Otolaryngology | 221 Windermere Blvd, Alexandria, LA 71303 | 2014-07-07 |
1154641751 | Stanley Voigt | Otolaryngology | 6355 Walker Ln, #411, Alexandria, VA 22310-3245 | 2010-06-04 |
1720300882 | James T Pate Md A Medical Corporation | Otolaryngology | 4124 Jackson Street Ext, Alexandria, LA 71303-2752 | 2010-02-17 |
1225263411 | Courtney Jayme Cutler Raizman | Otolaryngology | 6355 Walker Ln, Suite 308, Alexandria, VA 22310-3245 | 2009-05-18 |
1962663732 | Richard Harriman Comstock IIi | Otolaryngology | 6355 Walker Ln, Suite 308, Alexandria, VA 22310-3245 | 2008-06-24 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71303 |
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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.