ALEXANDRIA EP, LLC (NPI# 1396304499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396304499 |
Entity Type | Organization |
Organization Name | ALEXANDRIA EP, LLC |
Practice Address |
5900 Coliseum Blvd Alexandria LA 71303-3714 |
Mailing Address |
6030 S Rice Ave Ste C Houston TX 77081-2944 |
Practice Telephone | 7136600555 |
Mailing Telephone | 7136600557 |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-08-27 |
Authorized Official Name | TOM VO (MANAGER) |
Authorized Official Telephone | 7136600557 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Street Address |
5900 COLISEUM BLVD |
City | ALEXANDRIA |
State | LA |
Zip Code | 71303-3714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184685158 | Russel N Smith IIi | Family Medicine | 5900 Coliseum Blvd, Alexandria, LA 71303-3714 | 2006-03-30 |
1619444353 | Alexandria Hospital, LLC | General Acute Care Hospital | 5900 Coliseum Blvd, Alexandria, LA 71303-3714 | 2018-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
Find all providers in zip 71303 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629139969 | Eugene Francis Delaune IIi | Emergency Medicine | 7804 Accotink Pl, Alexandria, VA 22308-1226 | 2006-12-12 |
1891781233 | Sara E. Kelly | Emergency Medicine | 224 Pecan Park Ave, Alexandria, LA 71303-3308 | 2005-09-21 |
1891275640 | Mary T Conell | Emergency Medicine | 4320 Seminary Rd, Alexandria, VA 22304-1535 | 2018-08-20 |
1093902082 | James Huey Hebert | Emergency Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2007-10-03 |
1508947300 | Southern Emergency Consultants, LLC | Emergency Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2006-10-18 |
1275540841 | David Charash | Emergency Medicine | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2006-08-03 |
1417928979 | Donald Mark Odland | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2006-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639662539 | Doctor By Video,llc | Emergency Medicine | 1700 Central Blvd, Harvey, LA 70058-3288 | 2018-06-14 |
1780028175 | Wayne Thomas Robichaux | Emergency Medicine | 12 Muirfield Dr, La Place, LA 70068-1632 | 2013-04-29 |
1639474257 | C&m Medical Services-st Elizabeth LLC | Emergency Medicine | 1125 West Louisiana Highway 30, Gonzales, LA 70737 | 2011-01-12 |
1972705333 | Isaac Freeborn | Emergency Medicine | 1507 E Whatley Rd, Oakdale, LA 71463-2318 | 2007-06-05 |
1609097898 | Wesley Blake Vanderlan | Emergency Medicine | 400 S Chenier Dr, Madisonville, LA 70447-9389 | 2007-05-02 |
1801945936 | Louis Christopher Benjamin IIi | Emergency Medicine | 18961 Santa Maria Dr, Baton Rouge, LA 70809-6765 | 2007-01-09 |
1134235989 | Victor E Tuckler | Emergency Medicine | 639 Gelpi Ave, Jefferson, LA 70121-1527 | 2006-08-22 |
1710903059 | C & M Medical Services, Inc. | Emergency Medicine | 2450 Severn Ave Ste 205, Metairie, LA 70001 | 2006-07-13 |
1720014392 | Huey August Seyfarth Jr. | Emergency Medicine | 1424 Sherwood Forest Blvd, Baton Rouge, LA 70815-5332 | 2006-06-24 |
1073554010 | Gina Luisa Greco-angelopoulos | Emergency Medicine | 2640 Country Club Rd, Suite 400, Lake Charles, LA 70605-5912 | 2006-06-09 |
Find all providers with the same taxonomy |
City | ALEXANDRIA |
Zip Code | 71303 |
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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.