DR. CYRIL MALVIN SCULLY JR. (NPI# 1629060389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629060389 |
| Entity Type | Individual |
| Full Name | DR. CYRIL MALVIN SCULLY JR. |
| Credential | DPM |
| Practice Address |
3510 Severn Ave Metairie LA 70002-3444 |
| Practice Telephone | 5044551777 |
| Practice Fax Number | 5044555361 |
| Mailing Telephone | 5044551777 |
| Mailing Fax Number | 5044555361 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PD006R | LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1397679 | 05 |
| Street Address |
3510 SEVERN AVE |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508945700 | Brian Edward Schmidt | Podiatrist | 3510 Severn Ave, Metairie, LA 70002-3444 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841483666 | Charles Anthony Caplis | Podiatrist | 2520 Harvard Ave Ste 2b, Metairie, LA 70001-1172 | 2007-08-24 |
| 1639190366 | Robert Jarrett Kadish | Podiatrist | 1521 N Causeway Blvd, Ste. A, Metairie, LA 70001-4135 | 2006-07-21 |
| 1144293853 | Maria Markiewicz | Podiatrist | 2520 Harvard Ave, Suite 2b, Metairie, LA 70001-1118 | 2006-02-12 |
| 1235105693 | John Gibson Fasick | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2006-02-27 |
| 1255330551 | Marc Steven Glovinsky | Podiatrist | 3939 Houma Blvd, Bldg. 6, Suite 224, Metairie, LA 70006-2931 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063672327 | Edward Lang | Podiatrist | 2626 Jena St., New Orleans, LA 70115-6325 | 2008-06-11 |
| 1568651966 | Louisiana Medical Foot Center Associates Inc | Podiatrist | 110 Bellemeade Blvd, Suite A, Gretna, LA 70056-7142 | 2007-10-22 |
| 1386832822 | Dr Jonathan J Gisclair Apmc Dba Lafourche Podiatry Clinic | Podiatrist | 16148 W Main St, Cut Off, LA 70345-3511 | 2007-10-10 |
| 1467675124 | Baton Rouge Foot Care, PC | Podiatrist | 8160 Ymca Plaza Dr Ste C, Baton Rouge, LA 70810-0916 | 2007-04-11 |
| 1104957695 | The Foot Clinic of West Louisiana | Podiatrist | 901 Shirley Street, Deridder, LA 70634 | 2007-03-08 |
| 1942384227 | Minden Foot Clinic, Inc | Podiatrist | 603 Fleming Ln, Minden, LA 71055-3073 | 2006-10-24 |
| 1639195639 | Darren Michael Vigee | Podiatrist | 985 Robert Blvd Ste 103, Slidell, LA 70458-2063 | 2006-07-14 |
| 1447289426 | Robert A. Arango | Podiatrist | 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 | 2006-07-01 |
| 1609836055 | Denardo Dolphin Dunham | Podiatrist | 7311 Downman Rd, New Orleans, LA 70126-1213 | 2006-03-27 |
| 1437126786 | R. B. Drummond | Podiatrist | 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | 2006-03-07 |
| 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.