ALEXIS M WAGUESPACK (NPI# 1457388035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457388035 |
| Entity Type | Individual |
| Full Name | ALEXIS M WAGUESPACK |
| Credential | M.D. |
| Practice Address |
1849 Barataria Blvd Suite C Marrero LA 70072-4203 |
| Practice Telephone | 5043927123 |
| Practice Fax Number | 5043927823 |
| Mailing Telephone | 5043927123 |
| Mailing Fax Number | 5043927823 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
MD.09377R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1955884 | 05 |
| Street Address |
1849 BARATARIA BLVD SUITE C |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972953271 | Joelle Fabian | Physician Assistant | 1849 Barataria Blvd, Marrero, LA 70072-4273 | 2016-06-16 |
| 1891018933 | Pain Facility Management LLC | Physical Medicine & Rehabilitation | 1849 Barataria Blvd, Marrero, LA 70072-4203 | 2010-03-03 |
| 1821269267 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 1849 Barataria Blvd, Marrero, LA 70072-4273 | 2008-03-13 |
| 1467540179 | Spinecare Medical Group | Specialist | 1849 Barataria Blvd, Suite C, Marrero, LA 70072-4273 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801394176 | Spine Cin of Baton Rouge LLC | Orthopaedic Surgery | 9655 Perkins Rd Ste C-217, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1992203269 | Optimal Health of La, LLC | Orthopaedic Surgery | 9655 Perkins Rd Ste C-219, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1982744595 | Mark Mcdonnell | Orthopaedic Surgery | 1103 Kaliste Saloom Rd Ste 310, Lafayette, LA 70508-5784 | 2007-02-06 |
| 1538135868 | John Brisbane Logan | Orthopaedic Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1275509549 | The North Institute, Apmc | Orthopaedic Surgery | 29301 N Dixie Ranch Road, Lacombe, LA 70445 | 2006-02-27 |
| 1982606356 | Michael T Acurio | Orthopaedic Surgery | 2005 Landry Drive, Bossier City, LA 71111 | 2005-08-15 |
| 1962000687 | Fairway Medical Center, LLC | Orthopaedic Surgery | 67252 Industry Ln, Covington, LA 70433-8704 | 2020-10-14 |
| 1669092326 | Caroline Schneider | Orthopaedic Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-04-23 |
| 1841820396 | Restore Spine and Pain Specialists, LLC | Orthopaedic Surgery | 15814 Professional Plz, Hammond, LA 70403-1453 | 2020-01-23 |
| 1982167755 | Sla Care of La II, LLC | Orthopaedic Surgery | 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 | 2019-04-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALEXIS M WAGUESPACK.
| 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.