DR. MAVERICK JOSEPH LEBLANC (NPI# 1558780940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558780940 |
| Entity Type | Individual |
| Full Name | DR. MAVERICK JOSEPH LEBLANC |
| Credential | MD |
| Practice Address |
10310 The Grove Blvd Baton Rouge LA 70836-6455 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 2257615200 |
| Practice Fax Number | 2257615450 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
322598 | LA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2017043788 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 S Kingshighway Blvd, Saint Louis, MO 631101016 | 3143627200 | 3147474189 |
| Street Address |
10310 THE GROVE BLVD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70836-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407848443 | Ochsner Clinic LLC | Oral & Maxillofacial Surgery | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2005-08-16 |
| 1326663204 | Hannah Jumonville | Speech-Language Pathologist | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-06-16 |
| 1881216802 | Kitzia Baxter | Social Worker | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-05-13 |
| 1508499252 | Danielle Webster | Nurse Practitioner | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-02-20 |
| 1437794609 | Mary Catherine Halphen | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2019-11-12 |
| 1124682273 | Katherine Crifasi Cash | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2019-04-24 |
| 1487119632 | Shelby Heltz Ledet | Specialist/Technologist | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2019-02-01 |
| 1578000816 | Brittni Tullier | Dietitian, Registered | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2017-01-25 |
| 1447612320 | Jessica T. Chu | Dermatology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2016-03-22 |
| 1396163721 | Nicholas Frank | Dermatology | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2014-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154284 | Feliciana Physical Therapy Services, LLC | Occupational Therapist | 10299t Creekbend Drive, Baton Rouge, LA 70836 | 2017-10-05 |
| 1346395753 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6401 Bluebonnet Blvd Ste 5050, Baton Rouge, LA 70836 | 2007-01-24 |
| 1891313078 | Camille Alexis Merendino | Speech-Language Pathologist | 9511 Crestview Drive, Ste B, Baton Rough, LA 70836 | 2020-07-14 |
| 1932739984 | Senior Therapy Solutions, LLC | Occupational Therapist | 9511 Crestview Drive, Suite B, Baton Rouge, LA 70836 | 2020-01-17 |
| 1508829599 | Elizabeth Clubb, Apmc | Specialist | Bluebonnet Blvd, Suite A, Baton Rouge, LA 70836-1206 | 2006-04-10 |
| 1417281908 | Latonyia J Hewett | Physical Therapist | 9511 Crestview Drive, Ste B, Baton Rouge, LA 70836-3246 | 2009-09-30 |
| 1609218890 | Brett J Carlin | Optometrist | 6401 Bluebonnet Blvd # 2192, Baton Rouge, LA 70836-6401 | 2013-07-29 |
| 1568690402 | Tara Leblanc | Optometrist | 6401 Bluebonnet Blvd, Suite 2192, Baton Rouge, LA 70836-6401 | 2009-06-30 |
| 1245544675 | Capital Eyes LLC | Optometrist | 6401 Bluebonnet Blvd, Suite#2192, Baton Rouge, LA 70836-6401 | 2010-07-27 |
| 1225345127 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 6501 Bluebonnet Blvd, Baton Rouge, LA 70836-6500 | 2010-09-13 |
| Find all providers in zip 70836 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659575173 | John Grezaffi Jr. | Radiology | 7887 Picardy Ave, Baton Rouge, LA 70809-3534 | 2007-06-11 |
| 1144300666 | Chester Chattin Coles Jr. | Radiology | 5937 Goodwood Ave, Baton Rouge, LA 70806-7308 | 2006-10-17 |
| 1366469884 | Cheryl D Randal Knatt | Radiology | 6821 Fountain Ln, Baton Rouge, LA 70809-1046 | 2006-07-17 |
| 1922041334 | Jacques A De La Bretonne | Radiology | 5422 Dijon Dr, Baton Rouge, LA 70808-4315 | 2006-06-14 |
| 1841270592 | Keith Robert Gibson | Radiology | 5000 Hennessey Blvd, Baton Rouge, LA 70808 | 2006-01-19 |
| 1326027632 | Michael Lynn Bruce | Radiology | 8230 Summa Ave Ste C, Baton Rouge, LA 70809-3421 | 2006-01-13 |
| 1801895578 | Imaging Center of Louisiana LLC | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-07-15 |
| 1891793188 | Cecil Noel Bankston Jr. | Radiology | 4841 Woodlake Dr, Baton Rouge, LA 70817-1833 | 2005-07-11 |
| 1700220977 | Lisa Katherine Harris | Radiology | 100 Womans Way, Baton Rouge, LA 70817-5100 | 2013-04-18 |
| 1285976084 | Andrew Claiborne Matthews | Radiology | 8585 Picardy Ave, Baton Rouge, LA 70809-3748 | 2013-03-20 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70836 |
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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.