JEREMY DAVID CANNELL (NPI# 1386888733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386888733 |
| Entity Type | Individual |
| Full Name | JEREMY DAVID CANNELL |
| Credential | M.D. |
| Practice Address |
15790 Paul Vega Drive Hammond LA 70403 |
| Practice Telephone | 9852306700 |
| Practice Fax Number | 9852301528 |
| Mailing Telephone | 9852306700 |
| Mailing Fax Number | 9852301528 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2015-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD.208112 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
15790 PAUL VEGA DRIVE |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912522368 | Ng Medical Center LLC | Radiology | 5900 Hohman Ave, Hammond, IN 46320-2423 | 2020-06-11 |
| 1518209394 | Laura Mirielle Leonards | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438247 | James Ernesto Murray | Radiology | 1514 Jefferson Hwy Fl 2, Jefferson, LA 70121-2429 | 2014-04-28 |
| 1023383486 | Dane Gallmann Mackey | Radiology | 880 Sherwood Forest Blvd, Baton Rouge, LA 70815-5262 | 2012-03-19 |
| 1922313865 | John William Eiser | Radiology | 205 Magnolia Dr, Metairie, LA 70005-4030 | 2010-08-16 |
| 1609012657 | Vascular Access Center of Southwest Louisiana LLC | Radiology | 1340 Surrey St, Suite 101, Lafayette, LA 70501-7618 | 2008-12-22 |
| 1457412983 | Charles N Aprill IIi | Radiology | 1919 Veterans Memorial Blvd Ste 101, Kenner, LA 70062-4003 | 2006-12-12 |
| 1437183670 | Peripheral Vascular, Inc. | Radiology | 1100 Andre St Ste 101, New Iberia, LA 70563-2159 | 2006-07-11 |
| 1891341400 | Amber Lynn Durel | Radiology | 2400 Canal St, New Orleans, LA 70119-6535 | 2019-08-11 |
| 1902258486 | Jphir LLC | Radiology | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2016-07-07 |
| 1619317500 | Ricky Miller | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2013-06-25 |
| 1841559853 | Guardian Care LLC | Radiology | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2012-05-10 |
| 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.