MAGNOLIA MEDICAL, LLC (NPI# 1689683351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689683351 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA MEDICAL, LLC |
| Practice Address |
5412 Dijon Dr Baton Rouge LA 70808-4315 |
| Mailing Address |
304 Highland Blvd Suite B Natchez MS 39120 |
| Practice Telephone | 2256158693 |
| Practice Fax Number | 2254482280 |
| Mailing Telephone | (601) 442-6493 |
| Mailing Fax Number | 6014450999 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2017-05-18 |
| Authorized Official Name | MR. DAVID CHARLES HYDE (MANAGING PARTNER) |
| Authorized Official Telephone | 2257631314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 05828/11.1 | MS | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476702 | Magnolia Medical, LLC | Prosthetic/Orthotic Supplier | 300 Highland Blvd Ste G, Natchez, MS 39120-4600 | 2020-01-13 |
| 1174094304 | Magnolia Medical, LLC | Prosthetic/Orthotic Supplier | 626 Verot School Rd Ste C, Lafayette, LA 70508-5094 | 2018-12-16 |
| 1285060681 | Magnolia Medical, LLC | Prosthetic/Orthotic Supplier | 400 Carter St, Vidalia, LA 71373-3307 | 2013-09-18 |
| 1457786725 | Magnolia Medical, LLC | Prosthetic/Orthotic Supplier | 304 Highland Blvd, Suite B, Natchez, MS 39120-4624 | 2013-09-05 |
| Street Address |
5412 DIJON DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558369470 | Lamberts Limbs & Braces Inc. | Prosthetic/Orthotic Supplier | 5412 Dijon Dr, Baton Rouge, LA 70808-4315 | 2005-07-13 |
| 1073574489 | James Glenn Robicheaux | Specialist | 5412 Dijon Dr, Baton Rouge, LA 70808-4315 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116095 | Tina Mayo Womack | Durable Medical Equipment & Medical Supplies | 18017 Glen Park Dr, Baton Rouge, LA 70817-9583 | 2020-05-21 |
| 1043832843 | Arkla Ramps, LLC | Durable Medical Equipment & Medical Supplies | 13522 S Choctaw Dr Ste 103, Baton Rouge, LA 70815-2819 | 2020-05-14 |
| 1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
| 1811533813 | Madison Mulkey | Durable Medical Equipment & Medical Supplies | 1556 Saint Rose Ave, Baton Rouge, LA 70808-1060 | 2019-11-25 |
| 1285275404 | Louisiana Assistive Technology Access Network | Durable Medical Equipment & Medical Supplies | 3042 Old Forge Dr Ste D, Baton Rouge, LA 70808-3182 | 2019-09-30 |
| 1275181331 | Fairburn Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 4306 Rhoda Dr, Baton Rouge, LA 70816-4136 | 2019-08-30 |
| 1336701671 | Rabun Dakota Jackson | Durable Medical Equipment & Medical Supplies | 2236 Hoyt Dr, Baton Rouge, LA 70816-3384 | 2019-07-08 |
| 1093288581 | Carl Ravey | Durable Medical Equipment & Medical Supplies | 2736 Oneal Ln Ste I, Baton Rouge, LA 70816-3186 | 2019-01-07 |
| 1235625641 | Dura Medic, LLC | Durable Medical Equipment & Medical Supplies | 8044 Summa Ave # B-2, Baton Rouge, LA 70809-3411 | 2018-07-09 |
| 1619465184 | Orthotic Specialties, LLC | Durable Medical Equipment & Medical Supplies | 5713 Superior Dr Ste B4, Baton Rouge, LA 70816-8015 | 2018-04-30 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on MAGNOLIA MEDICAL, LLC.
| 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.