GULFSOUTH PULMONOLOGY, LLC (NPI# 1619463916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619463916 |
| Entity Type | Organization |
| Organization Name | GULFSOUTH PULMONOLOGY, LLC |
| Other Organization Name | GULFSOUTH PULMONARY, LLC |
| Practice Address |
1970 N Highway 190 Covington LA 70433 |
| Mailing Address |
Po Box 3370 Covington LA 70434-3370 |
| Practice Telephone | 9854005988 |
| Practice Fax Number | 9858673644 |
| Mailing Telephone | 9854005988 |
| Mailing Fax Number | 9858673644 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | BRANDI OGDEN (BILLING MANAGER) |
| Authorized Official Telephone | 9854005988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GulfSouth Pulmonary, LLC | Doing Business As Name - Organization |
| GulfSouth Pulmonology, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912404930 | Gulfsouth Pulmonology, LLC | Internal Medicine | 1970 N Hwy 190, Covington, LA 70433 | 2018-04-06 |
| Street Address |
1970 N HIGHWAY 190 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143599 | John Edward Angelo | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2005-12-02 |
| 1700402153 | Cardiomed Consultants, LLC | Internal Medicine | 1970 N Highway 190, Covington, LA 70433-5364 | 2020-06-22 |
| 1013548296 | Colleen A Teel | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2020-01-28 |
| 1376181198 | Nicholas Giordano | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-12-11 |
| 1790335313 | Kristine B Barr | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-09-16 |
| 1730731043 | Candice H Wild | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2019-07-16 |
| 1104395482 | Teresa E Marshall | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2018-11-16 |
| 1083190623 | Brittany N Loupe | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2018-07-17 |
| 1285120808 | Molly Broom | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433 | 2018-07-06 |
| 1477047512 | Jennifer Roche | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5364 | 2018-06-21 |
| Find all providers in the same location | ||||
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1740242221 | Lauren Lynn Davis | Internal Medicine | 80 Gardenia Dr., Suite A, Covington, LA 70433-9168 | 2006-04-03 |
| 1699777615 | Lasandra Magail Barton | Internal Medicine | 1203 S Tyler St Ste 200, Covington, LA 70433 | 2005-08-10 |
| 1285285874 | St Tammany Parish Hospital Service District No 1 | Internal Medicine | 1203 S Tyler St Ste 200, Covington, LA 70433-2353 | 2019-09-25 |
| 1912404930 | Gulfsouth Pulmonology, LLC | Internal Medicine | 1970 N Hwy 190, Covington, LA 70433 | 2018-04-06 |
| 1932344116 | Rachele Ann Gibson | Internal Medicine | 1203 S Tyler St Ste 200, Covington, LA 70433-2353 | 2008-12-02 |
| 1902077472 | Southern Pulmonary and Sleep, LLC | Internal Medicine | 101 Judge Tanner Blvd, Suite 506, Covington, LA 70433-7503 | 2008-03-12 |
| 1588612543 | Pontchartrain Sleep Medicine, LLC | Internal Medicine | 80 Gardenia Dr., Suite A, Covington, LA 70433-9168 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997219 | Ramsy Assaf Abdelghani | Internal Medicine | 1415 Tulane Ave Fl 7, New Orleans, LA 70112-2600 | 2013-03-29 |
| 1770823098 | Emergency and Critical Care Services LLC | Internal Medicine | 8965 Highway 79, Greenwood, LA 71033-2721 | 2013-02-22 |
| 1104161843 | Christus Health and Lunn Pulmonology | Internal Medicine | 1455 E. Bert Kouns, Suite #202, Christus Health and Lunn Pulmonology, Shreveport, LA 71105 | 2012-12-06 |
| 1770872616 | Gbr, LLC | Internal Medicine | 155 Hospital Dr. Ste 101, Lafayette, LA 70503 | 2011-03-31 |
| 1992016133 | Andrea Rudomin Conant Lorio | Internal Medicine | 8120 Main Street, Suite 204, Houma, LA 70360 | 2010-06-22 |
| 1326208232 | Brian Jude Parker | Internal Medicine | 604 N Acadia Rd Ste 411, Thibodaux, LA 70301 | 2008-06-13 |
| 1841463114 | David Yoshi Patten | Internal Medicine | 3872 S Inwood Ave, New Orleans, LA 70131 | 2008-04-08 |
| 1750401022 | Richard C Hebert | Internal Medicine | 6267 Sevenoaks Ave, Baton Rouge, LA 70806-7301 | 2007-03-30 |
| 1982765947 | Roger Edmund Stueben | Internal Medicine | 1107 Audubon Ave, Suite B, Thibodaux, LA 70301 | 2006-12-13 |
| 1962593798 | Physicians of Sleep Associates LLC | Internal Medicine | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2006-09-27 |
| 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.