GEORGIANA PENTAS RECILE (NPI# 1457840670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457840670 |
| Entity Type | Individual |
| Full Name | GEORGIANA PENTAS RECILE |
| Credential | PA-C |
| Practice Address |
1415 Tulane Ave Fl 5 New Orleans LA 70112-2600 |
| Mailing Address |
131 S Robertson St Ste 1300 New Orleans LA 70112-2807 |
| Practice Telephone | 5049885561 |
| Practice Fax Number | 5049881731 |
| Mailing Telephone | 5049885565 |
| Mailing Fax Number | 5049885793 |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4224 Houma Blvd Ste 550, Metairie, LA 700062937 | 5045037001 |
| Street Address |
1415 TULANE AVE FL 5 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245255371 | Elizabeth C. Crabtree | Psychiatry & Neurology | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2006-07-12 |
| 1063984607 | Marie Alexander | Physician Assistant | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2018-12-20 |
| 1285173344 | Ashley Caire | Nurse Practitioner | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2017-02-21 |
| 1316309750 | Sanjin Tunovic | Internal Medicine | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2016-03-24 |
| 1508180175 | Robert F Dallapiazza | Neurological Surgery | 1415 Tulane Ave Fl 5, New Orleans, LA 70112 | 2010-03-25 |
| 1285869008 | Nadine Maranatha Harris | Internal Medicine | 1415 Tulane Ave Fl 5, New Orleans, LA 70112 | 2009-05-22 |
| 1023211760 | Pervez Ahmad Khan | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2007-06-08 |
| 1518070036 | Richard Shane Tubbs | Physician Assistant | 1415 Tulane Ave Fl 5, New Orleans, LA 70112 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437712114 | Karley Marie Boagni | Physician Assistant | 3434 Prytania St Ste 410, New Orleans, LA 70115-3574 | 2019-04-17 |
| 1043832686 | Sarah Bruggers Odom | Physician Assistant | 1100 Florida Ave, New Orleans, LA 70119-2715 | 2020-05-16 |
| 1598385684 | Heather Cleveland | Physician Assistant | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-04-20 |
| 1912568791 | Kai Elizabeth Capdau | Physician Assistant | 4429 Clara St, New Orleans, LA 70115 | 2019-06-24 |
| 1255990396 | Alexandria Bloise | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2019-06-12 |
| 1063984607 | Marie Alexander | Physician Assistant | 1415 Tulane Ave Fl 5, New Orleans, LA 70112-2600 | 2018-12-20 |
| 1952883605 | Raegen E Harbour | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2018-08-29 |
| 1831616127 | Kerri Roxanna Morris | Physician Assistant | 2000 Canal St, New Orleans, LA 70112-3018 | 2017-08-28 |
| 1326569468 | Madelyn Rebstock | Physician Assistant | 1717 Saint Charles Ave, New Orleans, LA 70130-5223 | 2017-06-28 |
| 1720461171 | Terry Nguyen | Physician Assistant | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2015-07-02 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
Please comment or provide details below to improve the information on GEORGIANA PENTAS RECILE.
| 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.