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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | MD-020599 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1905445 | 05 |
| Street Address |
804 HEAVENS DR SUITE 203 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-2890 |
| 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 |
| 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 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164490330 | Richard J Guillot | Allergy & Immunology | 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890 | 2006-03-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on NORTHSHORE ALLERGY & IMMUNOLOGY, LLC.
| 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.