POWLIN VISWAS MANUEL (NPI# 1346251865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346251865 |
| Entity Type | Individual |
| Full Name | POWLIN VISWAS MANUEL |
| Credential | MD |
| Practice Address |
104 Genevieve Dr Lafayette LA 70503-4811 |
| Practice Telephone | 3379840110 |
| Mailing Telephone | 3379840110 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 03959R | LA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 03959R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1171689 | 05 |
| Street Address |
104 GENEVIEVE DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487188256 | Alicia Faulk Nicklas | Nurse Practitioner | 104 Genevieve Dr, Lafayette, LA 70503-4811 | 2017-04-18 |
| 1619145786 | Jaime Suhrhoff Woodring | Nurse Practitioner | 104 Genevieve Dr, Lafayette, LA 70503-4811 | 2008-02-12 |
| 1679620603 | Manuel Medical Clinic, Inc. | Allergy & Immunology | 104 Genevieve Dr, Lafayette, LA 70503-4811 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170433 | Southcare Medical LLC | Pediatrics | 110 Curran Ln, Lafayette, LA 70506 | 2015-12-30 |
| 1639425523 | Deepa Vasireddy | Pediatrics | 7053 Johnston St, Lafayette, LA 70503-6305 | 2012-07-27 |
| 1215293147 | Mark Leclerc | Pediatrics | 3 Rimrock Rd, Lafayette, CA 94549-4924 | 2012-04-04 |
| 1578854196 | Geneva Marie Guidry Lejeune | Pediatrics | 200 Beaullieu Dr Ste 7, Lafayette, LA 70508-7230 | 2011-04-30 |
| 1174835631 | Durga P Naidu | Pediatrics | 4630 Ambassador Caffery Pkwy Ste 404, Lafayette, LA 70508-6951 | 2010-07-12 |
| 1427236108 | Children's Multi-specialty Group LLC | Pediatrics | 4704 Ambassador Caffery Parkway, Lafayette, LA 70508 | 2008-02-05 |
| 1841477726 | Diane Kramer Gordon | Pediatrics | 500 Patterson St, Lafayette, LA 70501-1849 | 2008-01-23 |
| 1477748861 | Lafayette Childrens Clinic LLC | Pediatrics | 5000 Ambassador Caffery Pkwy., # 12, Lafayette, LA 70508 | 2007-09-10 |
| 1639362650 | Kristine Falcon Chimento | Pediatrics | 107 Montrose Ave Ste D, Lafayette, LA 70503-3852 | 2007-08-22 |
| 1659577302 | Katherine Alexis Lindle | Pediatrics | 1460 S College Rd, Lafayette, LA 70503 | 2007-06-21 |
| Find all providers in LAFAYETTE | ||||
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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.