DR. MARTIN JOSEPH DEGRAVELLE JR. (NPI# 1457520801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457520801 |
Entity Type | Individual |
Full Name | DR. MARTIN JOSEPH DEGRAVELLE JR. |
Credential | M.D. |
Practice Address |
1501 Louisville Ave Monroe LA 71201-6025 |
Practice Telephone | 3183238451 |
Practice Fax Number | 3183612613 |
Mailing Telephone | 3183238451 |
Mailing Fax Number | 3183612613 |
Enumeration Date | 2008-02-29 |
Last Update Date | 2016-12-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD.20092 | LA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700826500 | Martin Joseph Degravelle | Pediatrics | 2308 E Main St, New Iberia, LA 70560-4032 | 2006-06-08 |
Street Address |
1501 LOUISVILLE AVE |
City | MONROE |
State | LA |
Zip Code | 71201-6025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275518110 | Grant Arthur Dona | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2005-12-14 |
1679061485 | Kathryn H Nance | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2018-04-26 |
1851768139 | Joseph Roger Fandal | Physician Assistant | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-08-21 |
1154704724 | Victoria Hamby | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-07-01 |
1497171888 | Stanley Douglas Crawford | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2014-03-11 |
1295017200 | Sherry Canal | Occupational Therapist | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2011-09-15 |
1295976280 | Kristopher Charles Sirmon | Specialist | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2009-03-20 |
1346257870 | Timothy Davenport Spires Jr. | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201 | 2006-08-01 |
1902811300 | Elliott Branscome Nipper | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201 | 2006-07-31 |
1417988635 | Jose Luis Ferrer | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2006-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
Find all providers in zip 71201 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316146228 | Orthopaedic Sports Specialists of Louisiana LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5051 | 2007-07-12 |
1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
1033633284 | Allen T. Borne, M.d., LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2017-07-31 |
1306377189 | Donald C. Faust, Md | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2017-03-23 |
1700282704 | Lmg, LLC | Orthopaedic Surgery | 2731 Napoleon Ave, New Orleans, LA 70115-6913 | 2014-11-18 |
1326485319 | Matthew Rand Mccarley | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2013-05-30 |
1487949483 | Brent Van Mccarty | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Covington, LA 70433-9167 | 2011-06-17 |
1578855896 | Allen T Borne | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2011-05-04 |
1396069308 | Katherine Faust | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2010-03-19 |
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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.