NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC (NPI# 1306010566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306010566 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE INTERVENTIONAL PAIN MANAGEMENT, LLC |
| Practice Address |
985 Robert Blvd Suite 105 Slidell LA 70458-2063 |
| Mailing Address |
Po Box 54056 New Orleans LA 70154-4056 |
| Practice Telephone | 9856908335 |
| Practice Fax Number | 9856908334 |
| Mailing Telephone | 9856908335 |
| Mailing Fax Number | 9856908334 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2012-03-22 |
| Authorized Official Name | DR. LUIS N HERNANDEZ (OWNER) |
| Authorized Official Telephone | 9856908335 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
LA | Allopathic & Osteopathic Physicians |
| Street Address |
985 ROBERT BLVD SUITE 105 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710970678 | Adrienne Bernhard | Nurse Anesthetist, Certified Registered | 985 Robert Blvd, Slidell, LA 70458-2063 | 2005-08-25 |
| 1881973956 | Thomas Jerome Myers | Anesthesiology | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-08-08 |
| 1851679849 | Diana L. Gillmore, M.d.,l.l.c. | Surgery | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-07-26 |
| 1679899777 | Ear, Nose, Throat Clinic of Slidell | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2010-04-14 |
| 1639330368 | Bert R. Bratton Apmc | Neurological Surgery | 985 Robert Blvd, Suite 105, Slidell, LA 70458-2063 | 2008-06-25 |
| 1174798698 | Nancy H Villa | Audiologist-Hearing Aid Fitter | 985 Robert Blvd, Ste. 104, Slidell, LA 70458-2063 | 2008-04-25 |
| 1952419830 | Mary Lisa Leonard | Otolaryngology | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1144338153 | Wade Joseph Estopinal | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1639287659 | Charles Allen Preston | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-08-29 |
| 1669410171 | James Edward Fambro | Emergency Medicine | 985 Robert Blvd, Suite 101, Slidell, LA 70458-2063 | 2006-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063809754 | Harlan B Stern | Pain Medicine | 740 Gause Blvd, Slidell, LA 70458-2840 | 2015-04-20 |
| 1326214875 | The Spine Management Center,llc | Pain Medicine | 105 Medical Center Dr, Suite 305, Slidell, LA 70461-5544 | 2008-05-05 |
| 1134306657 | Michael Francis, M.d. (a Professional Medical Corporation) | Pain Medicine | 1570 Lindberg Dr, Suite 6, Slidell, LA 70458-8083 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025001 | Brain & Pain Care, LLC | Pain Medicine | 725 N Ashley Ridge Loop Ste 100, Shreveport, LA 71106-7233 | 2019-10-18 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1831660596 | Injury Treatment Center of Louisiana, LLC | Pain Medicine | 15814 Professional Plz, Hammond, LA 70403-1453 | 2018-12-06 |
| 1538673694 | Advanced Pain Management, LLC | Pain Medicine | 6536 Lasalle Ave, Baton Rouge, LA 70806-7318 | 2017-11-28 |
| 1619417607 | Segura Wellness, LLC | Pain Medicine | 7039 Highway 190 East Service Rd, Suite C, Covington, LA 70433-4961 | 2017-02-24 |
| 1821431024 | Felman Institute for Wellness and Longevity | Pain Medicine | 455 East Airport Road, Baton Rouge, LA 70806 | 2013-04-08 |
| 1528203957 | Neuroscience & Pain Institute LLC | Pain Medicine | 50 Louis Prima Dr, Suite A, Covington, LA 70433 | 2008-12-15 |
| 1740495829 | Firas Hijazi Md Apmc | Pain Medicine | 2149 Augusta Dr, La Place, LA 70068-1711 | 2007-05-11 |
| 1760598726 | Melanie C. Firmin, Md Apmc | Pain Medicine | 1587 N Bolton Ave Ste 1200, Alexandria, LA 71303 | 2006-08-22 |
| 1700800828 | Kevin R Martinez | Pain Medicine | 4228 Houma Blvd Ste 510, Suite 510, Metairie, LA 70006-3015 | 2006-07-26 |
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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.