JUAN CARLOS VEGA SOLIVEN (NPI# 1306895602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306895602 |
Entity Type | Individual |
Full Name | JUAN CARLOS VEGA SOLIVEN |
Credential | MD |
Practice Address |
3330 Masonic Dr Christus Cabrini Group Practice Intensivists Alexandria LA 71301-3841 |
Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
Practice Telephone | 3184486700 |
Practice Fax Number | 3184834066 |
Mailing Telephone | 4692822711 |
Mailing Fax Number | 4692820996 |
Enumeration Date | 2006-05-06 |
Last Update Date | 2019-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD12724R | LA | Allopathic & Osteopathic Physicians |
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD12724R | LA | Allopathic & Osteopathic Physicians |
N | 208M00000X | Hospitalist | MD.12724R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1546593 | 05 | |
MS | 03837510 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
309 Jackson St, Monroe, LA 712017407 | 3189664541 | |
503 Mcmillan Rd, West Monroe, LA 712915327 | 3183294200 |
Street Address |
3330 MASONIC DR CHRISTUS CABRINI GROUP PRACTICE INTENSIVISTS |
City | ALEXANDRIA |
State | LA |
Zip Code | 71301-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548252760 | Linda M Paul | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2005-08-16 |
1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
1225674427 | Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-11-22 |
1699317321 | Jacintha Nnadi | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-10-15 |
1548810617 | Catherine Cunningham Faucheaux | Counselor | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-19 |
1366091829 | Ashley Brazzell | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-08 |
1972158152 | Allison J Edwards | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-08-05 |
1548812829 | Jennifer Marie Murphy | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
Find all providers in zip 71301 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
1053545152 | Marlon Andre Medford | Internal Medicine | 211 4th St Ste 200, Alexandria, LA 71301-8421 | 2009-05-05 |
1134300148 | Arshan Beyzaei Arani | Internal Medicine | Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 | 2007-11-19 |
1285707018 | Karen E Johnson | Internal Medicine | 2000 North Beauregard St, Ste 360, Alexandria, VA 22311 | 2006-11-17 |
1336212141 | Rashid Nayyar | Internal Medicine | 2000 North Beauregard St., Ste 360, Alexandria, VA 22311 | 2006-11-17 |
1538246236 | Advanced Pulmonary Critical Care PC | Internal Medicine | 2000 Beauregard St, Ste 360, Alexandria, VA 22311 | 2006-11-01 |
1487653804 | Stephanie J Blair | Internal Medicine | 211 4th St, Alexandria, LA 71301-8421 | 2005-07-18 |
1891210035 | Commonwealth Critical Care LLC | Internal Medicine | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2017-08-09 |
1679017255 | Progressive Critical Care Medicine, LLC | Internal Medicine | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2016-12-15 |
1841604931 | Goutham Gudavalli | Internal Medicine | 211 4th St, Alexandria, LA 71301-8421 | 2014-06-17 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71301 |
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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.