SPINAL REGENERATION CENTER OF LA, LLC (NPI# 1306304050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306304050 |
| Entity Type | Organization |
| Organization Name | SPINAL REGENERATION CENTER OF LA, LLC |
| Practice Address |
189 Greenbrier Blvd Ste C Covington LA 70433-7297 |
| Mailing Address |
Po Box 3328 Bentonville AR 72712-7712 |
| Practice Telephone | 9853457246 |
| Mailing Telephone | 8646420884 |
| Mailing Fax Number | 8774272307 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Authorized Official Name | TABITHA SAYLES (CREDENTIALING AUDITOR) |
| Authorized Official Telephone | 8646420884 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
189 GREENBRIER BLVD STE C |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144734153 | Northshore Interventional Pain Management | Non-Pharmacy Dispensing Site | 7015 Hwy 190 E Service Rd., Ste 101, Covington, LA 70433 | 2017-11-29 |
| 1104337559 | Paul Van Deventer Md Apmc | Non-Pharmacy Dispensing Site | 1200 Pinnacle Pkwy Ste 3, Covington, LA 70433-9169 | 2017-10-12 |
| 1538647441 | Wellstreet of Georgia PC | Non-Pharmacy Dispensing Site | 5239 Highway 278 Ne, Covington, GA 30014-2671 | 2018-08-02 |
| 1609316066 | Neuroscience & Pain Institute LLC | Non-Pharmacy Dispensing Site | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-03-06 |
| 1619349610 | Georgia Ophthalmologists LLC | Non-Pharmacy Dispensing Site | 4159 Mill St Ne, Covington, GA 30014-2546 | 2015-10-29 |
| 1982918462 | Dermatology Consultants, P.C. | Non-Pharmacy Dispensing Site | 4151 Hospital Dr Ne, Covington, GA 30014-2565 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1689282576 | Total Access Mobility Services | Non-Pharmacy Dispensing Site | 500 Port of New Orleans Pl, New Orleans, LA 70130-1662 | 2020-07-17 |
| 1023570348 | Patrick A Juneau, IIi, Md, Apmc | Non-Pharmacy Dispensing Site | 1103 Kaliste Saloom Rd Ste 206, Lafayette, LA 70508-5784 | 2019-04-04 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1902385354 | Wm. Andre Cenac, Md Apmc | Non-Pharmacy Dispensing Site | 1307 Old Jeanerette Rd Ste 100, New Iberia, LA 70563-5801 | 2018-08-07 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
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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.