DR. DAVID MOAN TRETTIN (NPI# 1902881758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902881758 |
| Entity Type | Individual |
| Full Name | DR. DAVID MOAN TRETTIN |
| Credential | M.D. |
| 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 | 2005-12-14 |
| Last Update Date | 2010-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD.08355R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1384411 | 05 |
| Street Address |
1501 LOUISVILLE AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71201-6025 |
| 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 |
| 1851768139 | Joseph Roger Fandal | Physician Assistant | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2015-08-21 |
| 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 |
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| 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 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821381 | Novant Medical Group, Inc | Orthopaedic Surgery | 2000 Wellness Blvd, Suite 140, Monroe, NC 28110-3354 | 2017-06-27 |
| 1326190232 | Adam W Fosnaugh | Orthopaedic Surgery | 808 Circle Dr, Monroe, NC 28112-3800 | 2007-01-18 |
| 1710962444 | Jeffrey Roy Counts | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2005-12-15 |
| 1194700021 | White Solomon Graves Iv | Orthopaedic Surgery | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337478 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 309 Mcmillan Rd, West Monroe, LA 71291-5323 | 2017-07-06 |
| 1669926887 | Kindl Works LLC | Orthopaedic Surgery | 1570 Lindberg Dr Ste 6, Slidell, LA 70458 | 2016-08-04 |
| 1033536529 | David Leslie | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 | 2014-03-24 |
| 1215290580 | Paul Phillips Iv | Orthopaedic Surgery | 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 | 2012-06-20 |
| 1295938892 | Michael Jesse Mcnulty Iv | Orthopaedic Surgery | 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 | 2007-06-09 |
| 1205925070 | Ronald D. Sylvest | Orthopaedic Surgery | 7414 Picardy, Ste A, Baton Rouge, LA 70808 | 2006-10-12 |
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1336144757 | William S Bundrick | Orthopaedic Surgery | 2449 Hospital Dr Ste 200, Bossier City, LA 71111-2382 | 2005-06-14 |
| 1013574961 | Ochsner Clinic Foundation | Orthopaedic Surgery | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2019-05-28 |
| 1891216263 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2017-07-06 |
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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.