INPATIENT PEDIATRIC SERVICES (NPI# 1407885791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885791 |
| Entity Type | Organization |
| Organization Name | INPATIENT PEDIATRIC SERVICES |
| Practice Address |
3421 Medical Park Dr Monroe LA 71203-2355 |
| Mailing Address |
1601 Lamy Ln Monroe LA 71201-3735 |
| Practice Telephone | 3183873453 |
| Practice Fax Number | 3183239045 |
| Mailing Telephone | 3183873453 |
| Mailing Fax Number | 3183239045 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-07-20 |
| Authorized Official Name | MITRA GREEN (PHYSICIAN) |
| Authorized Official Telephone | 3183873453 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1449725 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | INPATIENT PEDIATRIC SERVICES, INC. | 153 Munger Hill Rd., Westfield, MA 01085 |
| Street Address |
3421 MEDICAL PARK DR |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396239224 | Kristen Coles Johnson | Nurse Practitioner | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2018-06-14 |
| 1871704312 | John Turpin | Psychiatry & Neurology | 3421 Medical Park Dr, St. Patrick's Mental Health Services, Monroe, LA 71203-2355 | 2007-05-25 |
| 1275652877 | Gary Wayne Lowder | Emergency Medicine | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2007-03-28 |
| 1053457176 | Teresa Halley Willis | Nurse Anesthetist, Certified Registered | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2007-01-29 |
| 1851447411 | Frankie Travis Bell | Nurse Anesthetist, Certified Registered | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2007-01-26 |
| 1366504334 | St. Francis North Behavioral Health Unit | Psychiatric Unit | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-12-15 |
| 1124109061 | St. Francis Medical Center, Inc | Psychiatric Unit | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-10-18 |
| 1093817363 | Robert Mark Kerry | Emergency Medicine | 3421 Medical Park Dr, St Francis North Hospital, Monroe, LA 71211 | 2006-09-05 |
| 1346357308 | Cindy Fuller Dollar | General Acute Care Hospital | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-08-24 |
| 1699702761 | Mitra Marie Green | Pediatrics | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| 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 |
|---|---|---|---|---|
| 1447886155 | Natalie Brown Shumate | Pediatrics | 1669 Pleasant Valley Rd Ne, Monroe, GA 30655-6211 | 2020-03-14 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1700261336 | Munira A Yusuf Md | Pediatrics | 1703 Lamy Ln, Monroe, LA 71201-3737 | 2015-07-24 |
| 1366734832 | Francois Hayato Coutu | Pediatrics | 401 Monroe Tpke Ste 16, Monroe, CT 06468-2278 | 2011-05-03 |
| 1407087547 | Flor De Maria Grados Valderrama | Pediatrics | 2802 Pargoud Blvd, Monroe, LA 71201-2335 | 2009-08-06 |
| 1285809731 | Kathleen Reinhart Do PC | Pediatrics | 14930 Laplaisance Rd Ste 127, Monroe, MI 48161-3878 | 2008-04-25 |
| 1851422919 | Monroe Pediatrics | Pediatrics | 218 Martin Luther King Jr Blvd, Monroe, GA 30655-5622 | 2007-03-08 |
| 1386707362 | Munira A Yusuf | Pediatrics | 2829 W Deborah Dr, Monroe, LA 71201-1919 | 2006-12-19 |
| 1114004421 | Barbara Ann Davies | Pediatrics | 1210 Frank Dr, Monroe, MI 48162-3400 | 2006-11-01 |
| 1699850313 | Alan Werzberger | Pediatrics | 22 Van Buren Dr, Suite 102, Monroe, NY 10950-6018 | 2006-10-25 |
| Find all providers in MONROE | ||||
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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.