CARDIOVASCULAR DIAGNOSTIC CENTER (NPI# 1497894620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497894620 |
| Entity Type | Organization |
| Organization Name | CARDIOVASCULAR DIAGNOSTIC CENTER |
| Practice Address |
402 Mcmillan Rd West Monroe LA 71291-5326 |
| Practice Telephone | 3183383540 |
| Practice Fax Number | 3183353542 |
| Mailing Telephone | 3183383540 |
| Mailing Fax Number | 3183353542 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-12-30 |
| Authorized Official Name | VIRGINIA Y GONZALEZ (OWNER) |
| Authorized Official Telephone | 3183383540 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
11314R | LA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
11314R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1667781 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609058734 | Cardiovascular Diagnostic Center | Clinic/Center | 1099 S Township Blvd, Jenkins Twp, PA 18640-3247 | 2007-11-30 |
| 1144258021 | Cardiovascular Diagnostic Center | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2006-06-29 |
| Street Address |
402 MCMILLAN RD |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366823809 | Melissa Dawn Futrell | Nurse Practitioner | 402 Mcmillan Rd, West Monroe, LA 71291-7366 | 2015-06-10 |
| 1730493966 | Brenda Renaye Smith | Nurse Practitioner | 402 Mcmillan Rd, West Monroe, LA 71291-5326 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831272350 | Virginia Yajaira Gonzalez | Internal Medicine | 402 Mcmillan Road, West Monroe, LA 71291-5326 | 2006-10-21 |
| 1396879490 | P. Thomas Causey, Jr. Md Amc | Internal Medicine | 102 Thomas Rd, Suite 201, West Monroe, LA 71291-7366 | 2007-03-14 |
| 1760591010 | Assad Husein Mouhaffel | Internal Medicine | 102 Thomas Rd, Suite 103, West Monroe, LA 71291-7366 | 2006-08-30 |
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| 1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
| 1184140154 | Cardiovascular Specialty Care Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-08-21 |
| 1508388299 | Louisiana State University School of Medicine In New Orleans Faculty G | Internal Medicine | 120 Ochsner Blvd Ste 340, Gretna, LA 70056-5249 | 2017-07-13 |
| 1003348012 | Vascular Advantages of La, LLC | Internal Medicine | 10966 Laird Ln, Denham Springs, LA 70726-7963 | 2017-03-29 |
| 1104281476 | White Clover, LLC | Internal Medicine | 8835 Line Ave Ste 400, Shreveport, LA 71106-6730 | 2015-12-30 |
| 1538543574 | Prevail Heart Clinic of Ville Platte, LLC | Internal Medicine | 504 Jack Miller Rd Ste 8, Ville Platte, LA 70586-5600 | 2015-07-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
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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.