ALEXANDRIA NEUROSURGICAL CLINIC INC (NPI# 1447206537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447206537 |
| Entity Type | Organization |
| Organization Name | ALEXANDRIA NEUROSURGICAL CLINIC INC |
| Practice Address |
3704 North Blvd Suite C Alexandria LA 71301-3606 |
| Practice Telephone | 3184434576 |
| Practice Fax Number | 3184495579 |
| Mailing Telephone | 3184434576 |
| Mailing Fax Number | 3184495579 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | DR. MICHAEL LAWRENCE DRERUP (PRESIDENT) |
| Authorized Official Telephone | 3184434576 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1792535 | 05 |
| Street Address |
3704 NORTH BLVD SUITE C |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006535 | Alfred A Mansour Jr. | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2005-07-08 |
| 1952857807 | Marjorie Shanks | Physician Assistant | 3704 North Blvd, Alexandria, LA 71301-3658 | 2016-08-31 |
| 1922413905 | Robert Lewis Meadows | Physician Assistant | 3704 North Blvd, Ste C, Alexandria, LA 71301-3658 | 2014-06-27 |
| 1679913115 | Tiffany Teal Williams | Registered Nurse | 3704 North Blvd, Suite C, Alexandria, LA 71301-3658 | 2013-06-28 |
| 1942513288 | Daniel Ryan Bonifield | Radiology | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3658 | 2010-07-15 |
| 1629176615 | Garett G Guilbeau | Physician Assistant | 3704 North Blvd, Suite C, Alexandria, LA 71301-3658 | 2006-09-21 |
| 1669405098 | Christian Anthony Scheuermann | Radiology | 3704 North Blvd, Suite 1, Alexandria, LA 71301 | 2006-07-09 |
| 1992767404 | William David Long | Specialist | 3704 North Blvd, Suite 1, Alexandria, LA 71301-3606 | 2006-04-03 |
| 1659357598 | Robert Doyle Harvey | Physician Assistant | 3704 North Blvd, Suite C, Alexandria, LA 71301-3606 | 2005-12-22 |
| 1689672446 | Gregory Clinton Dowd | Specialist | 3704 North Blvd, Suite C, Alexandria, LA 71301-3606 | 2005-07-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| 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 |
|---|---|---|---|---|
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1063997724 | Women's Health Clinic, Inc | Specialist | 5999 Stevenson Ave Ste 403, Alexandria, VA 22304-3302 | 2018-09-28 |
| 1013458413 | Rebecca Walton | Specialist | 5936 Bangor Dr, Alexandria, VA 22303-2202 | 2017-03-17 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1861866410 | Lea Hawkins-fisher | Specialist | 1024 3rd St, Suite 203, Alexandria, LA 71301-8343 | 2015-11-19 |
| 1639581408 | Denise Lee | Specialist | 6824 Deer Run Dr, Alexandria, VA 22306-1123 | 2014-05-28 |
| 1144645912 | Iris Jones | Specialist | 3654 Government St, Suite 7, Alexandria, LA 71302-3324 | 2014-03-03 |
| 1164705539 | Madeline Carmen Hernandez | Specialist | 5838 Brookview Dr, Alexandria, VA 22310-1817 | 2011-09-22 |
| 1134434046 | Gynecare Associates | Specialist | 2807 Duke St, Alexandria, VA 22314-4512 | 2010-08-16 |
| 1962737080 | Ariel O Antezana | Specialist | 3311 Prescott Rd Ste 216, Alexandria, LA 71301-3983 | 2009-10-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.