JOSEPH ROGER FANDAL


Address: 1501 Louisville Ave, Monroe, LA 71201-6025
Phone: 3183238451

JOSEPH ROGER FANDAL (NPI# 1851768139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851768139
Entity Type Individual
Full Name JOSEPH ROGER FANDAL
Credential PA
Practice Address 1501 Louisville Ave
Monroe
LA 71201-6025
Practice Telephone 3183238451
Practice Fax Number 3183612613
Mailing Telephone 3183238451
Mailing Fax Number 3183612613
Enumeration Date 2015-08-21
Last Update Date 2015-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1501 LOUISVILLE AVE
City MONROE
State LA
Zip Code 71201-6025

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275518110 Grant Arthur Dona Orthopaedic Surgery 1501 Louisville Ave, Monroe, LA 71201-6025 2005-12-14
1679061485 Kathryn H Nance Physical Medicine & Rehabilitation 1501 Louisville Ave, Monroe, LA 71201-6025 2018-04-26
1154704724 Victoria Hamby Physical Medicine & Rehabilitation 1501 Louisville Ave, Monroe, LA 71201-6025 2015-07-01
1497171888 Stanley Douglas Crawford Orthopaedic Surgery 1501 Louisville Ave, Monroe, LA 71201-6025 2014-03-11
1295017200 Sherry Canal Occupational Therapist 1501 Louisville Ave, Monroe, LA 71201-6025 2011-09-15
1295976280 Kristopher Charles Sirmon Specialist 1501 Louisville Ave, Monroe, LA 71201-6025 2009-03-20
1457520801 Martin Joseph Degravelle Jr. Orthopaedic Surgery 1501 Louisville Ave, Monroe, LA 71201-6025 2008-02-29
1346257870 Timothy Davenport Spires Jr. Orthopaedic Surgery 1501 Louisville Ave, Monroe, LA 71201 2006-08-01
1902811300 Elliott Branscome Nipper Orthopaedic Surgery 1501 Louisville Ave, Monroe, LA 71201 2006-07-31
1417988635 Jose Luis Ferrer Orthopaedic Surgery 1501 Louisville Ave, Monroe, LA 71201-6025 2006-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043831035 Tammy Price Social Worker 414 Pine Street, Monroe, LA 71201 2020-04-30
1932749116 Emmanuel Brown Jr. Case Manager/Care Coordinator 2808 Evangeline Street, Monroe, LA 71201 2020-01-15
1063050961 James J Gregory Social Worker 4800 S Grand, Monroe, LA 71201 2019-12-11
1285271221 William Fairley Non-emergency Medical Transport (VAN) 1002 N. 7th St., Apt. 4, Monroe, LA 71201 2019-12-10
1619431715 Guidance Medical Transportation LLC Non-emergency Medical Transport (VAN) 1204 Stubbs Ave. Suite B, Monroe, LA 71201 2019-01-23
1184193286 Marnesha Davis Assistant Behavior Analyst 500 N. 21st Street, Monroe, LA 71201 2018-11-19
1912476482 Gbc Hope Residential Treatment Facility, Emotionally Disturbed Children 311 South 1st Street, Monroe, LA 71201 2018-11-14
1124502505 Orthopaedic Clinic of Monroe Non-Pharmacy Dispensing Site 1501 Louisville Ave., Monroe, LA 71201 2018-09-20
1699266643 Melissa Anne De La O Audiologist 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 2018-05-25
1588153738 Essential Family Medicine, LLC Nurse Practitioner 2014 Tower Dr. Ste A, Monroe, LA 71201 2018-05-03
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922422278 Frank Tanner Physician Assistant 146 Martin Luther King Jr Blvd#302, Monroe, GA 30655 2014-02-06
1689698490 Paula M. Wallace Physician Assistant 212 Walnut St, Ste 110, Monroe, LA 71201-6707 2006-07-26
1235195835 Angela M Clark Physician Assistant 2009 5th St, Monroe, WI 53566-1546 2006-04-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104423151 Osler Surgical Services LLC Physician Assistant 929 Tezcucco Ct, Covington, LA 70433-8157 2020-10-02
1841841855 Kasie Danielle Nelson Physician Assistant 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 2019-09-23
1013575018 Louisiana Surgical Assist, L.L.C. Physician Assistant 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 2019-06-04
1285290098 Nicole Michelle Toups Physician Assistant 2551 Greenwood Rd Ste 311, Shreveport, LA 71103-3981 2019-05-16
1437712114 Karley Marie Boagni Physician Assistant 3434 Prytania St Ste 410, New Orleans, LA 70115-3574 2019-04-17
1144793175 Picardy Surgical Assist II, L.L.C. Physician Assistant 7425 Bocage Blvd, Baton Rouge, LA 70809-1141 2019-01-02
1952874984 Perkins Surgical Assist II, L.L.C. Physician Assistant 18611 Saint Andrews Ct W, Prairieville, LA 70769-3251 2019-01-02
1578033825 Picardy Surgical Assist, L.L.C. Physician Assistant 7301 Hennessy Blvd Ste 300, Baton Rouge, LA 70808-4794 2018-11-29
1609362177 Harley Ann Augustine Physician Assistant 3001 Division St, Metairie, LA 70002-5854 2018-07-07
1750880134 Robert Gomann Genovese II Physician Assistant 1233 Wayne Gilmore Cir Ste 250a, Opelousas, LA 70570-6405 2018-02-12
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Competitor

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City MONROE
Zip Code 71201

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Dataset Information

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.

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