MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER (NPI# 1306862941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306862941 |
| Entity Type | Organization |
| Organization Name | MGA GASTROINTESTINAL DIAGNOSTIC & THERAPEUTIC CENTER |
| Other Organization Name | MGA GASTROINTESTINAL DIAGNOSTIC AND THERAPEUTIC CENTER |
| Practice Address |
1111 Medical Center Blvd S450 Marrero LA 70072-3151 |
| Mailing Address |
Po Box 1187 Marrero LA 70073-1187 |
| Practice Telephone | 5043496309 |
| Mailing Telephone | 5043496423 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-09-28 |
| Authorized Official Name | MR. CHRISTOPHER A HOLDEN (CHIEF MANAGER OF LLC) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
60 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1980714 | 05 |
| Other Name | Type Code |
|---|---|
| MGA Gastrointestinal Diagnostic and Therapeutic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578744470 | Mga Gastrointestinal Diagnostic & Therapeutic Center | Clinic/Center | 2633 Napoleon Ave, Suite 707, New Orleans, LA 70115-6357 | 2007-11-19 |
| Street Address |
1111 MEDICAL CENTER BLVD S450 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013178417 | Gonzales Endoscopy Center LLC | Clinic/Center | 1433 E Highway 30, Gonzales, LA 70737-4765 | 2008-06-19 |
| 1447324132 | Endocenter, LLC | Clinic/Center | 131-a Cherokee Rose Lane, Covington, LA 70433-7195 | 2006-11-17 |
| 1821014473 | Mga Gastrointestinal Diagnostic & Therapeutic-metairie | Clinic/Center | 3333 Kingman St, 202, Metairie, LA 70006-4236 | 2006-07-15 |
| 1184605792 | Colonnade Endoscopy Center LLC | Clinic/Center | 555 Dr Michael Debakey Dr Ste 102, Lake Charles, LA 70601 | 2005-11-10 |
| 1417957796 | Endoscopy Center of Monroe, Inc. | Clinic/Center | 316 S 6th St, Monroe, LA 71201-7568 | 2005-07-28 |
| 1073519195 | Alliance Surgery Center LLC | Clinic/Center | 3717 Houma Blvd, Ste 200, Metairie, LA 70006-4115 | 2005-06-23 |
| 1255865937 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Highway 190 East Service Rd, Ste 102, Covington, LA 70433-4960 | 2017-04-19 |
| 1497064406 | Calche Surgery Center | Clinic/Center | 8030 Crowder Blvd, New Orleans, LA 70127-1063 | 2010-09-26 |
| 1003067844 | Endocenter LLC | Clinic/Center | 58515 Pearl Acres Rd, Slidell, LA 70461-5423 | 2008-10-09 |
| 1578744470 | Mga Gastrointestinal Diagnostic & Therapeutic Center | Clinic/Center | 2633 Napoleon Ave, Suite 707, New Orleans, LA 70115-6357 | 2007-11-19 |
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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.