LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G (NPI# 1508388299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508388299 |
| Entity Type | Organization |
| Organization Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G |
| Other Organization Name | LSU HEALTHCARE NETWORK |
| Practice Address |
120 Ochsner Blvd Ste 340 Gretna LA 70056-5249 |
| Mailing Address |
2025 Gravier Street 6th Floor New Orleans LA 70112 |
| Practice Telephone | 5044121390 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | ATARA MCAVOY (CFO) |
| Authorized Official Telephone | 5044121819 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FAC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| LSU Healthcare Network | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740534064 | Louisiana State University School of Medicine In New Orleans Faculty G | Dentist | 1542 Tulane Ave Ste 123-hcn, New Orleans, LA 70112-2865 | 2012-11-08 |
| 1316417629 | Louisiana State University School of Medicine In New Orleans Faculty G | Durable Medical Equipment & Medical Supplies | 671 W Esplanade Ave, Kenner, LA 70065-2794 | 2018-11-29 |
| 1245614296 | Louisiana State University School of Medicine In New Orleans Faculty G | Durable Medical Equipment & Medical Supplies | 3700 Saint Charles Ave Fl 3, New Orleans, LA 70115-4637 | 2015-07-18 |
| 1902103427 | Louisiana State University School of Medicine In New Orleans Faculty G | Durable Medical Equipment & Medical Supplies | 4500 10th St, Suite C, Marrero, LA 70072-3122 | 2011-02-18 |
| 1386872190 | Louisiana State University School of Medicine In New Orleans Faculty G | Psychiatry & Neurology | 3450 Chestnut St, New Orleans, LA 70115-2443 | 2009-06-30 |
| 1477582526 | Louisiana State University School of Medicine In New Orleans Faculty G | Clinic/Center | 1542 Tulane Ave, Suite 123-hcn, New Orleans, LA 70112-2865 | 2006-07-01 |
| 1437108297 | Louisiana State University School of Medicine In New Orleans Faculty G | Anesthesiology | 180 W Esplanade Ave, Anesthesia Dept., Kenner, LA 70065-2467 | 2006-05-09 |
| Street Address |
120 OCHSNER BLVD STE 340 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| 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 |
|---|---|---|---|---|
| 1336776038 | Louisiana Community Health Center | Internal Medicine | 91 Westbank Expy Ste 440, Gretna, LA 70053-3678 | 2020-03-24 |
| 1750572087 | Richard William Pearl | Internal Medicine | 120 Ochsner Blvd Ste 160, Gretna, LA 70056 | 2007-08-01 |
| 1669678892 | Updesh Bedi | Internal Medicine | 120 Ochsner Blvd Ste 460, Gretna, LA 70056-5282 | 2007-06-25 |
| 1598889388 | Michael Castine | Internal Medicine | 120 Meadowcrest St, Ste 460, Gretna, LA 70056-5255 | 2007-03-19 |
| 1841256955 | Samuel J Ferris | Internal Medicine | 120 Meadowcrest St, Suite # 360, Gretna, LA 70056-5255 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424583 | Ochsner Clinic LLC | Internal Medicine | 64040 Highway 434 Ste 100, Lacombe, LA 70445-3499 | 2020-07-09 |
| 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 |
| 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 |
| 1083002331 | Twilight Center LLC | Internal Medicine | 3800 Florida Blvd, Baton Rouge, LA 70806 | 2015-01-08 |
| 1447676234 | Prevail Heart Clinic of Eunice, LLC | Internal Medicine | 250 W Vine Ave, Eunice, LA 70535-3372 | 2014-03-17 |
| Find all providers with the same taxonomy | ||||
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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.