MAYFIELD ADVANCED MEDICAL, LLC (NPI# 1710495627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710495627 |
| Entity Type | Organization |
| Organization Name | MAYFIELD ADVANCED MEDICAL, LLC |
| Practice Address |
5419 Jackson St Ext Ste B Alexandria LA 71303-2322 |
| Practice Telephone | 3187872708 |
| Practice Fax Number | 3187872716 |
| Mailing Telephone | 3187872708 |
| Mailing Fax Number | 3187872716 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |
| Authorized Official Name | DR. CONRAD MARTIN TAYLOR (OWNER) |
| Authorized Official Telephone | 3187872708 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
5419 JACKSON ST EXT STE B |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194241190 | Socorrito Louise Baez-page | General Practice | 6204 Vengo Ct, Alexandria, VA 22312-1242 | 2017-08-21 |
| 1649703356 | Mind-body Wellness, LLC | General Practice | 1213 Texas Ave, Alexandria, LA 71301-4838 | 2017-04-10 |
| 1740574920 | Rodger Brent Cook | General Practice | 526 N Henry St, Alexandria, VA 22314-2233 | 2011-06-05 |
| 1801115589 | Ama Medical Pllc | General Practice | 5501 Cherokee Ave, Suite 205, Alexandria, VA 22312-2305 | 2010-05-20 |
| 1699841148 | Kazuko K Price Md Ltd | General Practice | 4701 Kenmore Avenue, Suite 118, Alexandria, VA 22304-1248 | 2006-11-27 |
| 1831288323 | Robert Rush | General Practice | 108 Constitution Dr, Alexandria, LA 71303-3521 | 2006-10-12 |
| 1275633406 | Anton N Kojouharov | General Practice | 979 E Lakewood Dr, Alexandria, IN 46001-8833 | 2006-09-25 |
| 1588767669 | Farid A Zurmati | General Practice | 5960 Kingstowne Center Blvd, Suite 140, Alexandria, VA 22315 | 2006-09-06 |
| 1366467656 | Injury Management Specialists | General Practice | 108 Constitution Blvd, Alexandria, LA 71303 | 2006-07-13 |
| 1427000504 | Guido Rojas | General Practice | 5248 Dawes Ave, Alexandria, VA 22311 | 2006-05-16 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on MAYFIELD ADVANCED 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.