MADAELIL GEORGE THOMAS (NPI# 1417950346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417950346 |
| Entity Type | Individual |
| Full Name | MADAELIL GEORGE THOMAS |
| Credential | M.D. |
| Practice Address |
1150 Robert Blvd Suite 340 Slidell LA 70458-2004 |
| Practice Telephone | 9856492883 |
| Practice Fax Number | 9856492953 |
| Mailing Telephone | 9856492883 |
| Mailing Fax Number | 9856492953 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2009-04-13 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 05592R | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1316067 | 05 |
| Street Address |
1150 ROBERT BLVD SUITE 340 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006777 | Ochsner Clinic LLC | Internal Medicine | 1150 Robert Blvd, Slidell, LA 70458-2004 | 2020-09-08 |
| 1124592852 | Travis Mark Dauzat Sr. | Specialist/Technologist, Other | 1150 Robert Blvd, Slidell, LA 70458-2004 | 2019-01-16 |
| 1053843292 | Stacy Blackwell Maggio | Specialist/Technologist, Other | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2004 | 2017-03-28 |
| 1821458134 | James C Butler | Exclusive Provider Organization | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2005 | 2016-02-29 |
| 1942675053 | Carmen N. Daddona | Specialist/Technologist, Other | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2004 | 2015-12-01 |
| 1679909873 | Matthew Joseph Bassett | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2013-09-19 |
| 1730446014 | Li Sun | Internal Medicine | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2012-04-11 |
| 1568764124 | Northlake Cardiology Diagnostics LLC | Specialist | 1150 Robert Blvd, Suite 340, Slidell, LA 70458-2004 | 2010-12-02 |
| 1164730495 | Zane Ashton Kirby | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2005 | 2010-09-21 |
| 1942465596 | Frederick L. Keppel M.d. P.m.c | Specialist | 1150 Robert Blvd, 100, Slidell, LA 70458-2004 | 2008-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154609667 | Allied Pain Management Services LLC | Specialist | 1425 Fremaux Ave Ste A, Slidell, LA 70458-3150 | 2011-08-01 |
| 1881890838 | Michelle Schlecht Carlson | Specialist | 58363 Liberty Dr, Slidell, LA 70460-3115 | 2007-06-26 |
| 1801007307 | Dura Mater, Inc | Specialist | 700 Gause Blvd, Suite 201, Slidell, LA 70458-2800 | 2007-05-25 |
| 1942357900 | Harold Robert Neitzschman IIi | Specialist | 1850 Gause Blvd E Ste 102, Slidell, LA 70461-5434 | 2007-01-04 |
| 1265528574 | Allan Garigue Cougle | Specialist | 107 Smart Place, Slidell, LA 70458-2039 | 2006-10-05 |
| 1528150646 | Michael Thomas Karam | Specialist | 2750 East Gause Blvd., Slidell, LA 70461-4149 | 2006-09-28 |
| 1275552986 | Maynard Ernest Garrett Jr. | Specialist | 985 Robert Blvd Ste 104, Slidell, LA 70458-2063 | 2006-07-19 |
| 1730110263 | Joseph B. Boucree Jr. | Specialist | 1570 Lindberg Dr Ste 8, Slidell, LA 70458-8084 | 2006-07-05 |
| 1558301093 | Slidell Memorial Hospital | Specialist | 1120 Robert Blvd. Suite 100, Slidell, LA 70458 | 2006-06-06 |
| 1225090368 | Jeanne F Eddington | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2006-04-04 |
| Find all providers in SLIDELL | ||||
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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.