CHARLES SIMONSON (NPI# 1376731588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376731588 |
| Entity Type | Individual |
| Full Name | CHARLES SIMONSON |
| Credential | M.D. |
| Practice Address |
1255 Avenue D Marrero LA 70072-3127 |
| Practice Telephone | 5043475435 |
| Practice Fax Number | 5043472119 |
| Mailing Telephone | 5043475435 |
| Mailing Fax Number | 5043472119 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD012837 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1146846 | 05 |
| Street Address |
1255 AVENUE D |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467641902 | Joanna Sue Magee | Nurse Practitioner | 1255 Avenue D, Marrero, LA 70072-3127 | 2007-10-22 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1659696912 | Andrea D. Germond | Internal Medicine | 1101 Medicare Ctr. Blvd., Hospitalist Department, Marrero, LA 70072 | 2010-03-30 |
| 1285893214 | Kimberly Ann Sommers | Internal Medicine | Wjmc Infectious Disease Clinic, 1111 Medical Center Blvd Suite S-850, Marrero, LA 70072 | 2008-06-05 |
| 1356531131 | Amanda G. Fontenot | Internal Medicine | 4225 Lapaleo Boulevard, Marrero, LA 70072 | 2007-07-27 |
| 1740345008 | Alan Bernard Halle | Internal Medicine | 1111 Medical Center Blvd Ste S850, Marrero, LA 70072 | 2006-12-27 |
| 1265548416 | Phuong T Vo | Internal Medicine | 7521 Westbank Expy, Suite E, Marrero, LA 70072-2300 | 2006-08-21 |
| 1982615142 | Hong Le Nguyen | Internal Medicine | 1111 Medical Center Blvd # S-570, Marrero, LA 70072-3151 | 2006-08-11 |
| 1790753945 | Ahmad M A Shanableh | Internal Medicine | 824 Avenue F, Marrero, LA 70072-1940 | 2006-03-14 |
| 1164495552 | Sophia L Morris | Internal Medicine | 1101 Medical Ctr. Blvd., Hospitalist Group, Marrero, LA 70072 | 2006-02-08 |
| 1477545309 | Kristi Lynne St Martin | Internal Medicine | 1101 Medical Center Blvd., Attn: Hospitalist Department, Marrero, LA 70072-0000 | 2005-08-17 |
| 1023018199 | Scott J. Acosta | Internal Medicine | 1111 Medical Center Blvd., Ste. S850, Marrero, LA 70072-3147 | 2005-07-29 |
| Find all providers in MARRERO | ||||
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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.