AGRIPPA GAYDEN ROBERT JR. (NPI# 1720010606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720010606 |
| Entity Type | Individual |
| Full Name | AGRIPPA GAYDEN ROBERT JR. |
| Credential | MD |
| Practice Address |
15790 Paul Vega Md Dr Hammond LA 70403-1434 |
| Mailing Address |
Po Box 2668 Hammond LA 70404-2668 |
| Practice Telephone | 9852301682 |
| Practice Fax Number | 9852301617 |
| Mailing Telephone | 9852301332 |
| Mailing Fax Number | 9852301334 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD.016278 | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD.016278 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00052293 | 05 | |
| LA | 1341754 | 05 | |
| RR MEDICARE | 370008389 | 01 |
| Street Address |
15790 PAUL VEGA MD DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364075 | Julie Joyce | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2005-05-30 |
| 1487267456 | Adrienne Hymel Holdridge | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-08-28 |
| 1417573213 | Jennifer Steib | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-06-18 |
| 1215559505 | Matthew Peralta | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-05-11 |
| 1215559596 | Tyare Standberry | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-05-10 |
| 1306466396 | Whitney Adams Phillips | Specialist/Technologist | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-04-20 |
| 1174152573 | Jessica Granier Pollet | Registered Nurse | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-04-07 |
| 1780216655 | Courtney A Muller | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2020-02-10 |
| 1558900159 | Tyler G Nelson | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-12-30 |
| 1104485390 | Brittany Janel-helen Roussel | Dietitian, Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427277888 | Spencer Paul Tucker | Emergency Medicine | 12163 E Adams Rd, Hammond, LA 70403-2103 | 2007-04-24 |
| 1609869130 | Cathleen M Mcgovern | Emergency Medicine | 5454 S Hohman Ave, Hammond, IN 46320 | 2005-08-30 |
| 1982600656 | Scott Henry David | Emergency Medicine | 42078 Veterans Ave Ste G, Hammond, LA 70403-1490 | 2005-06-27 |
| 1598110876 | Jonathon Zinkel | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2016-04-25 |
| 1912386863 | Lucas Ainsworth | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403 | 2015-05-26 |
| 1114304466 | Cortney Sloan Palencia | Emergency Medicine | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2015-05-06 |
| 1649665233 | Dustin Lee Cotliar | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2015-04-01 |
| 1467845313 | Megan Marie Dodge | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2015-03-16 |
| 1295144491 | Patrick Sheehan | Emergency Medicine | 15790 Paul Vega Dr, Hammond, LA 70403 | 2014-08-13 |
| 1770993891 | Timothy Hattier | Emergency Medicine | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2014-04-28 |
| Find all providers in HAMMOND | ||||
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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.