SYDNEY F FUSSELL (NPI# 1477925196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477925196 |
| Entity Type | Individual |
| Full Name | SYDNEY F FUSSELL |
| Credential | PA |
| Practice Address |
1203 S Tyler St Ste 100 Covington LA 70433-2353 |
| Mailing Address |
4950 Essen Ln Baton Rouge LA 70809-3738 |
| Practice Telephone | 9858929090 |
| Practice Fax Number | 9858929957 |
| Mailing Telephone | 2257670847 |
| Mailing Fax Number | 2257660218 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200805 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1970 N Highway 190, Covington, LA 704335364 | 9854005988 | 9858673644 |
| Street Address |
1203 S TYLER ST STE 100 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356797658 | Courtney Coyle | Physician Assistant | 1980 N Hwy, Covington, LA 70433-5158 | 2016-05-05 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1598929630 | Yormica L Truitt | Physician Assistant | 1775 Access Rd Ste C, Covington, GA 30014-1987 | 2008-07-17 |
| 1407337611 | Sarah Beth Marx | Physician Assistant | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2018-08-25 |
| 1174065411 | Jace John Crawford | Physician Assistant | 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 2016-11-16 |
| 1720331333 | Allison B Jung | Physician Assistant | 360 Emerald Forest Blvd, Ste H, Covington, LA 70433-5193 | 2012-10-19 |
| 1063784676 | Charles W Holloway | Physician Assistant | 1775 Access Rd Ste C, Covington, GA 30014-1987 | 2012-01-30 |
| 1386948891 | Eric James Boyer | Physician Assistant | 1995 Highway 51 S, Covington, TN 38019-3635 | 2010-12-28 |
| 1396980215 | Tatyana A. Storozhuk | Physician Assistant | 27500 168th Pl Se, Covington, WA 98042-5563 | 2008-12-05 |
| 1699781799 | Erin K Rogers Marckel | Physician Assistant | 16850 Se 272nd St, Covington, WA 98042-4931 | 2006-07-31 |
| Find all providers in COVINGTON | ||||
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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.