NORTHSHORE ALLERGY & IMMUNOLOGY, LLC


Address: 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890
Phone: 9857924022

NORTHSHORE ALLERGY & IMMUNOLOGY, LLC (NPI# 1912107962) 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) 1912107962
Entity Type Organization
Organization Name NORTHSHORE ALLERGY & IMMUNOLOGY, LLC
Practice Address 804 Heavens Dr
Suite 203
Mandeville
LA 70471-2890
Practice Telephone 9857924022
Practice Fax Number 9857924007
Mailing Telephone 9857924022
Mailing Fax Number 9857924007
Enumeration Date 2007-07-18
Last Update Date 2007-07-18
Authorized Official Name DR. RICHARD JOSEPH GUILLOT (OWNER/PRESIDENT)
Authorized Official Telephone 9857924022
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207K00000X Allergy & Immunology MD-020599 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1905445 05

Office Location

Street Address 804 HEAVENS DR
SUITE 203
City MANDEVILLE
State LA
Zip Code 70471-2890

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407853401 Edward Langlow Ophthalmology 804 Heavens Dr, Suite 102, Mandeville, LA 70471-2890 2005-07-05
1295957488 Edward P. Langlow Md Apmc Ophthalmology 804 Heavens Dr, Suite 102, Mandeville, LA 70471-2890 2007-05-03
1740303056 Jennifer Denise Mcgrew Specialist/Technologist, Other 804 Heavens Dr, Suite 201, Mandeville, LA 70471-2890 2007-04-10
1972513117 Med-peds Associates Apmc Family Medicine 804 Heavens Dr, Suite 106, Mandeville, LA 70471 2006-08-09
1104836790 Susan F Ovella Internal Medicine 804 Heavens Dr, Ste 106, Mandeville, LA 70471 2006-08-08
1164490330 Richard J Guillot Allergy & Immunology 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890 2006-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497398234 Joshua Joseph Leblanc Pharmacist 541 Asbury Dr., Mandeville, LA 70471 2019-10-24
1700356789 John R. Macgregor Jr. M.d. (apmc) Non-Pharmacy Dispensing Site 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 2018-12-03
1619462082 Southern Family Chiropractic, LLC Chiropractor 2077 North Causeway Blvd, Mandeville, LA 70471 2018-06-27
1518459833 Marissa Rose Ledet Corneille Audiologist 1420 N Causeway Blvd., Mandeville, LA 70471 2018-06-01
1891285193 Tyler Gravley Chiropractor 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 2018-05-14
1831640259 Trey Stokes Nurse Anesthetist, Certified Registered 104 West Brighton Court, Mandeville, LA 70471 2016-10-20
1619420759 Erin Salerno Counselor 6408 Village Ln, Mandeville, LA 70471 2016-07-25
1699121822 Austin Fontenot Chiropractor 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 2016-05-06
1578935136 Vanessa Hadden Social Worker 600 Mariners Plaza, Mandeville, LA 70471 2015-10-22
1134590912 Slent Investments, LLC Clinic/Center 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 2015-10-19
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164490330 Richard J Guillot Allergy & Immunology 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890 2006-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801293816 Tp-aco, L.L.C. Allergy & Immunology 35055 Highway 16, Suite 2h, Denham Spring, LA 70706-1535 2014-11-20
1104193176 Letha Haynes Allergy & Immunology 7 Lagi St, La Place, LA 70068-8408 2011-11-18
1861791592 Caroline Virginia Caperton Allergy & Immunology 2530 Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71118-3153 2011-03-21
1659699726 Jennifer Elaine Petitto Olivier Allergy & Immunology 1051 Gause Blvd Ste 400, Slidell, LA 70458-2996 2010-05-13
1285951921 Joseph V. Giannobile, M.d., A Professional Medical Corporation Allergy & Immunology 1806 Aurora St, Monroe, LA 71201-2102 2010-04-20
1457680332 Wilton Lee Bergeron Allergy & Immunology 1505 Westgate Rd, Lafayette, LA 70506-2742 2009-12-23
1467695247 Elizabeth Bertucci Robertson Allergy & Immunology 200 Petroleum Dr, Lafayette, Lafayette, LA 70508-3880 2009-04-09
1124297627 Erin Trahan Pratt Allergy & Immunology 101 Rue Fontaine Bldg 2, Lafayette, LA 70508-5744 2008-02-28
1013108463 Tammy Harvey Allergy & Immunology 3321 W Esplanade Ave S, Metairie, LA 70002-3421 2007-08-08
1215009741 Alan E Sheen Allergy & Immunology 3701 Houma Blvd, Suite 101, Metairie, LA 70006-4103 2006-11-13
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Competitor

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City MANDEVILLE
Zip Code 70471

Improve Information

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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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