DR. GONZALO CORREA (NPI# 1750357166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750357166 |
| Entity Type | Individual |
| Full Name | DR. GONZALO CORREA |
| Practice Address |
602 N Acadia Rd Thibodaux LA 70301-4847 |
| Mailing Address |
1100 Beverly Garden Drive Metairie LA 70002 |
| Practice Telephone | 9854934756 |
| Mailing Telephone | 5048319637 |
| Mailing Fax Number | 5048378909 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2015-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
024153 | LA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | MD.024153 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
602 N ACADIA RD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
| 1346855715 | Lindsay A Dufresne | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-12 |
| 1598370991 | Jill L Bueche | Nurse Practitioner | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-11 |
| 1972118842 | Adele Elise Broussard | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-08 |
| 1336759737 | Nia Walker | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-07-31 |
| 1639705924 | Gage Duet | Student in an Organized Health Care Education/Training Program | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-03-18 |
| 1992352629 | Jamie Roy-daigle | Clinical Pharmacology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-08-19 |
| 1356995096 | Kaley Marie Duplantis | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-31 |
| 1750933438 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-12 |
| 1740840909 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063807550 | Jace Philip Landry | General Practice | 147 Legendre Est Lot 1, Thibodaux, LA 70301-6277 | 2015-04-01 |
| 1073502472 | Chester Gregory Boudreaux | General Practice | 142 Rue Marguerite, Thibodaux, LA 70301-6738 | 2005-10-18 |
| 1063950921 | Ochsner Clinic LLC | General Practice | 318 N Canal Blvd, Thibodaux, LA 70301-2996 | 2017-02-10 |
| 1902895279 | Thomas Gregory Chaisson | General Practice | 142 Rue Marguerite, Thibodaux, LA 70301-6738 | 2005-10-19 |
| 1326037730 | James Theard Soignet | General Practice | 142 Rue Marguerite, Thibodaux, LA 70301-6738 | 2005-10-18 |
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| 1710495627 | Mayfield Advanced Medical, LLC | General Practice | 5419 Jackson St Ext Ste B, Alexandria, LA 71303-2322 | 2018-01-12 |
| 1568976413 | Brandie A Smith | General Practice | 19115 Florida Ave., Suite A, Albany, LA 70711 | 2017-11-29 |
| 1003328444 | Ochsner Clinic LLC | General Practice | 201 Decatur St, New Orleans, LA 70130-1015 | 2017-10-25 |
| 1548790470 | Cure Global, LLC | General Practice | 229 Hidden Pines Dr, Pineville, LA 71360-2203 | 2017-06-13 |
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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.