MADELYN REBSTOCK (NPI# 1326569468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326569468 |
| Entity Type | Individual |
| Full Name | MADELYN REBSTOCK |
| Practice Address |
1717 Saint Charles Ave New Orleans LA 70130-5223 |
| Mailing Address |
1117 Lake Frances Dr Gretna LA 70056-8318 |
| Practice Telephone | 5048992800 |
| Mailing Telephone | 5043018181 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 SAINT CHARLES AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70130-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154344000 | Scott Keith Sullivan Jr. | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2006-07-25 |
| 1801445457 | Sarah Anne Nelson | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2019-09-06 |
| 1952883605 | Raegen E Harbour | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2018-08-29 |
| 1720573389 | Kati Hayes | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2018-06-26 |
| 1962920082 | Catherine Marie Cousins | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2017-09-08 |
| 1992249403 | Kristin Rambeau Kitchen | Physical Therapist | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2016-12-19 |
| 1366805475 | Coastal Anesthesia, Inc. | Anesthesiology | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2016-04-05 |
| 1346643814 | Jeanne Marie Flotte | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2014-09-29 |
| 1134354202 | St. Charles Surgical Hospital, LLC | Surgery | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2009-05-19 |
| 1629218565 | Parish Anesthesia Uptown LLC | Anesthesiology | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2009-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497216030 | Chloe Haagen | Social Worker | 1164 Camp St, New Orleans, LA 70130 | 2019-03-27 |
| 1154831055 | Autism Nomore, L.L.C. | Behavioral Analyst | 92o Poeyfarre Street, Condo 373, New Orleans, LA 70130 | 2017-10-05 |
| 1285155515 | Encounter Medical Group, P.C. Dba Two Dreams New Orleans | Substance Abuse Rehabilitation Facility | 1820 St. Charles Ave., Suite 212, New Orleans, LA 70130 | 2017-06-27 |
| 1184154858 | The Guild At Raphael Village LLC | Clinic/Center | 500 Soraparu Street, New Orleans, LA 70130 | 2017-06-15 |
| 1912436346 | Mary Victoria Buckley | Counselor | 625 Celeste St Ste 210, New Orleans, LA 70130 | 2017-06-08 |
| 1043746217 | Horace Derry | Counselor | 521 St. Mary St., New Orleans, LA 70130 | 2017-05-10 |
| 1235677311 | Leah S Foster | Social Worker | 643 Magazine St., Ste 304, New Orleans, LA 70130 | 2017-02-08 |
| 1144681800 | Hill Country Monitoring LLC | Neurological Surgery | 650 Poydas St, Ste 1400, New Orleans, LA 70130 | 2016-03-09 |
| 1457754277 | Jeremy Echols | Counselor | 400 Bienville, Suite E, New Orleans, LA 70130 | 2014-10-07 |
| 1497175103 | Allison Palmisano | Psychologist | 1529 Jackson Ave # 2, New Orleans, LA 70130 | 2014-04-21 |
| Find all providers in zip 70130 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437712114 | Karley Marie Boagni | Physician Assistant | 3434 Prytania St Ste 410, New Orleans, LA 70115-3574 | 2019-04-17 |
| 1043832686 | Sarah Bruggers Odom | Physician Assistant | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-05-16 |
| 1598385684 | Heather Cleveland | Physician Assistant | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-04-20 |
| 1912568791 | Kai Elizabeth Capdau | Physician Assistant | 4429 Clara St, New Orleans, LA 70115 | 2019-06-24 |
| 1255990396 | Alexandria Bloise | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2019-06-12 |
| 1063984607 | Marie Alexander | Physician Assistant | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2018-12-20 |
| 1952883605 | Raegen E Harbour | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2018-08-29 |
| 1457840670 | Georgiana Pentas Recile | Physician Assistant | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2018-05-02 |
| 1831616127 | Kerri Roxanna Morris | Physician Assistant | 2000 Canal St, New Orleans, LA 70112-3018 | 2017-08-28 |
| 1720461171 | Terry Nguyen | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2015-07-02 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70130 |
Please comment or provide details below to improve the information on MADELYN REBSTOCK.
| 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.