CCP MEDICAL MANAGEMENT, LLC (NPI# 1740466440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740466440 |
| Entity Type | Organization |
| Organization Name | CCP MEDICAL MANAGEMENT, LLC |
| Practice Address |
213 Fourpark Rd Suite C Lafayette LA 70507-2481 |
| Practice Telephone | 3378966400 |
| Practice Fax Number | 3378966441 |
| Mailing Telephone | 3378966400 |
| Mailing Fax Number | 3378966441 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | GROVER PHIPPS (PARTNER) |
| Authorized Official Telephone | 3378966400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
026036 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1447692 | 05 |
| Street Address |
213 FOURPARK RD SUITE C |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-2481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952622664 | Ccp Medical Management LLC | Clinic/Center | 213 Fourpark Rd, Suite C, Lafayette, LA 70507-2481 | 2010-06-16 |
| 1487817813 | Stephanie Christina, LLC | Pain Medicine | 213 Fourpark Rd, Suite C, Lafayette, LA 70507-2481 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487952735 | Colorado Integrated Clinics LLC | Pain Medicine | 380 Empire Rd Ste 101, Lafayette, CO 80026-2677 | 2011-03-10 |
| 1407825813 | Ryan D Loyd | Pain Medicine | 415 N 26th St., Suite 202, Lafayette, IN 47904 | 2006-03-16 |
| 1427507656 | Msh Clinic | Pain Medicine | 105 Patriot St, Suite 101, Lafayette, LA 70508-6831 | 2016-09-29 |
| 1326119397 | Daniel Ray Baker | Pain Medicine | 2900 Moss St, Suite F, Lafayette, LA 70501 | 2006-11-13 |
| 1396732178 | Steven K. Staires, Md, Apmc | Pain Medicine | 1103 Kaliste Saloom Rd, Suite 208, Lafayette, LA 70508-5783 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487024527 | Dpi Pain Management LLC | Pain Medicine | 4727 W Park Dr, Suite B, Zachary, LA 70791-4090 | 2015-10-01 |
| 1417367137 | Parish Anesthesia of East New Orleans LLC | Pain Medicine | 5640 Read Blvd Ste 200, New Orleans, LA 70127-3126 | 2014-05-02 |
| 1033484340 | Michael Richard Voorhies Jr. | Pain Medicine | 605 Lapalco Blvd, Gretna, LA 70056-7302 | 2012-03-20 |
| 1720372311 | Advanced Pain Care and Wellness Center, LLC | Pain Medicine | 1234 Del Este Ave, Suite 201, Denham Springs, LA 70726-4828 | 2011-06-01 |
| 1043259880 | Ihab J. Ibrahim | Pain Medicine | 672 Bert Kouns Industrial Loop, Shreveport, LA 71118-5701 | 2006-06-06 |
| 1316399512 | Healthspere Management Group, LLC | Pain Medicine | 4600 S Claiborne Ave, New Orleans, LA 70125-5010 | 2016-07-12 |
| 1760856215 | La Pain Doctor Inc | Pain Medicine | 502 Rue De Sante, Suite 303, La Place, LA 70068-5424 | 2015-11-20 |
| 1265802748 | Frederick Bowers | Pain Medicine | 5408 Flanders Dr, Baton Rouge, LA 70808-9137 | 2015-09-28 |
| 1083971006 | Alvah Tyson Wickboldt Jr. | Pain Medicine | 1514 Jefferson Hwy, Brent House Room 634, New Orleans, LA 70121-2429 | 2012-04-15 |
| 1184895476 | Brian Michael Koch | Pain Medicine | 1111 Medical Center Blvd, Suite S750, Marrero, LA 70072-3151 | 2008-03-14 |
| 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.