AXCESS MEDICAL CLINIC, INC (NPI# 1386807444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386807444 |
Entity Type | Organization |
Organization Name | AXCESS MEDICAL CLINIC, INC |
Other Organization Name | FUNCTIONAL REHABILITATION INSTITUTE |
Practice Address |
524 Elmwood Park Blvd Suite 100 Harahan LA 70123-3339 |
Mailing Address |
Po Box 6673 Metairie LA 70009-6673 |
Practice Telephone | 5047342393 |
Practice Fax Number | 5044676002 |
Mailing Telephone | 5047342393 |
Mailing Fax Number | 5044676002 |
Enumeration Date | 2008-07-08 |
Last Update Date | 2008-08-18 |
Authorized Official Name | MR. KENNETH C KNIGHT JR. (PRESIDENT) |
Authorized Official Telephone | 5049094554 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
026430 | LA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Functional Rehabilitation Institute | Doing Business As Name - Organization |
Street Address |
524 ELMWOOD PARK BLVD SUITE 100 |
City | HARAHAN |
State | LA |
Zip Code | 70123-3339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437780327 | Cerner Health Connections, Inc | Pharmacy | The Laitram Pharmacy, 5307 Toler St, Harahan, LA 70123 | 2020-01-29 |
1184111270 | Option Care Enterprises, Inc. | Pharmacy | 524 Elmwood Park Blvd Ste 120, Elmwood, LA 70123 | 2018-04-16 |
1740703214 | Rebekah Murray Dykes | Physician Assistant | 9605 Jefferson Hwy Ste G, River Ridge, LA 70123 | 2017-07-17 |
1710420260 | Cindy M Tregre | Counselor | 1529 River Oaks Rd W Ste 121, New Orleans, LA 70123 | 2016-11-30 |
1184098725 | Tiffany Marie Banye | Case Manager/Care Coordinator | 5341 Citrus Blvd Apt L272, River Ridge, LA 70123 | 2015-11-19 |
1003290123 | Phoebe Rae Plaisance | Student in an Organized Health Care Education/Training Program | 1336 Hickory Ave., Apt. C, Harahan, LA 70123 | 2015-07-18 |
1255711495 | Chris Dysart | Physical Therapist | 1827 Hickory Ave Ste B, Harahan, LA 70123 | 2015-06-03 |
1184043275 | Joanna Cross-call Buckingham | Pediatrics | 9605 Jefferson Highway, River Ridge, LA 70123 | 2014-04-16 |
1972927259 | Cassandra Williams | Chiropractor | 844 S Clearview Pkwy Apt 209, River Ridge, LA 70123 | 2014-02-07 |
1770906182 | Amber Bloom | Chiropractor | 9045 Jefferson Highway, River Ridge, LA 70123 | 2014-01-22 |
Find all providers in zip 70123 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033736343 | David S Vaughan | Physical Medicine & Rehabilitation | 3926 Barron St Ste C210, Metairie, LA 70002-5798 | 2020-07-02 |
1184196784 | Evan Phillips | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | 2018-12-19 |
1093236283 | Spine Management Group, LLC | Physical Medicine & Rehabilitation | 4600 S Claiborne Ave Ste 100, New Orleans, LA 70125-5010 | 2017-06-28 |
1467808519 | Healthspere Management Group | Physical Medicine & Rehabilitation | 872 Behrman Hwy, Gretna, LA 70056-4546 | 2016-05-09 |
1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
1962636597 | Bayou Physical Medicine, Inc. | Physical Medicine & Rehabilitation | 12038 Lake Sherwood Ave N, Baton Rouge, LA 70816-4341 | 2009-05-11 |
1124298344 | Satvik Bhargav Munshi | Physical Medicine & Rehabilitation | 3820 Lapalco Blvd, Harvey, LA 70058 | 2008-03-04 |
1417167750 | Markus Vattakattil John | Physical Medicine & Rehabilitation | 4021 We Heck Ct, Building M-1, Baton Rouge, LA 70816-0416 | 2007-05-23 |
1437263522 | Omni Pain Management, LLC | Physical Medicine & Rehabilitation | 2701 David Dr, Suite A, Metairie, LA 70003-4511 | 2006-08-18 |
1558475806 | Stat Care Pain Management, LLC | Physical Medicine & Rehabilitation | 807 Stubb St., Suite 1, Monroe, LA 71201 | 2006-08-17 |
Find all providers with the same taxonomy |
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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.