EXTREME ENVIRONMENTAL MEDICINE, LLC (NPI# 1699321703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699321703 |
| Entity Type | Organization |
| Organization Name | EXTREME ENVIRONMENTAL MEDICINE, LLC |
| Practice Address |
180 W Esplanade Ave Kenner LA 70065-2467 |
| Mailing Address |
200 W Esplanade Ave Kenner LA 70065-2489 |
| Practice Telephone | 5044648686 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | DR. MICAH W. SIEGEL (OWNER) |
| Authorized Official Telephone | 7087902776 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1699321703 | 05 | |
| NJ | 1447541941 | 05 |
| Street Address |
180 W ESPLANADE AVE |
| City | KENNER |
| State | LA |
| Zip Code | 70065-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474084 | George Nick Guzzardo Jr. | Emergency Medicine | 180 W Esplanade Ave, Emergency Department, Kenner, LA 70065-2467 | 2005-08-23 |
| 1093332702 | Armando Alvarez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-06-29 |
| 1619505419 | Kayla Gonzalez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-03-29 |
| 1790324655 | Chastity L Boudreaux | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-12-24 |
| 1376198614 | Jacob Michael Shaw | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-08-05 |
| 1770145161 | Aimee Hodnett | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-07-05 |
| 1053895045 | N'jeri Kai Dixon | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2018-09-17 |
| 1942703152 | Kristin Stein | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065 | 2018-03-14 |
| 1548769946 | Jaime Leigh Ndandu | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2018-02-12 |
| 1184138653 | Joy Fletcher Chairs | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2017-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 207PE0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Emergency Medicine [7/1/2008: source added, additional resources added] Additional Resources: Additional Resources: www.abem.org & American Board of Preventive Medicine www.abprevmed.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366549065 | Steven Dick Mehaffey | Emergency Medicine | 180 W Esplanade Ave, Kenner Regional Medical Center, Kenner, LA 70065-2467 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417309667 | Pepa Wound Care Specialists LLC | Emergency Medicine | 7301 Hennessy Blvd Ste 103, Baton Rouge, LA 70808-4794 | 2016-07-11 |
| 1922206168 | Kevin-steven C Buford | Emergency Medicine | 2000 Canal Street, New Orleans, LA 70112-1352 | 2007-07-10 |
| 1174629299 | Gary Bernard Mazzanti | Emergency Medicine | 701 Jordan St, Suite A, Shreveport, LA 71101-4660 | 2006-09-16 |
| 1952339038 | Victoria L Everton | Emergency Medicine | 2530 Bert Kouns Loop, Suite 138, Shreveport, LA 71118-3132 | 2006-06-29 |
| 1811407091 | Christine Cao Md, LLC | Emergency Medicine | 1401 Foucher St Fl 1, New Orleans, LA 70115-3515 | 2017-10-02 |
| 1457735250 | Southern Regional Wound Care Consultants, LLC | Emergency Medicine | 301 Main St, Suite 2200, Baton Rouge, LA 70801-1919 | 2015-07-13 |
| 1447541941 | Micah W Siegel | Emergency Medicine | 1816 Industrial Blvd, Harvey, LA 70058-2314 | 2011-05-02 |
| 1487823506 | Leonard Christopher Treanor | Emergency Medicine | 42388 Pelican Professional Park, Hammond, LA 70403-2412 | 2008-02-22 |
| 1336338052 | Talisman Healing Arts, LLC | Emergency Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2007-10-18 |
| 1861693962 | Solutions Medical Consulting, LLC | Emergency Medicine | 1495 Frazier Rd, Ruston, LA 71270-1632 | 2007-05-29 |
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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.