DR. STEPHEN MAC (NPI# 1912138819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912138819 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MAC |
| Credential | M.D. |
| Practice Address |
200 Henry Clay Ave New Orleans LA 70118-5720 |
| Practice Telephone | 5048999511 |
| Mailing Telephone | 5048999511 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
303238 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
200 HENRY CLAY AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70118-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505632 | Thomas H Carson | Pathology | 200 Henry Clay Ave, Children's Hospital- Department of Pathology, New Orleans, LA 70118-5720 | 2005-08-19 |
| 1255932182 | Children's Hospital | Ambulance | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-11-06 |
| 1831703768 | Olivia Dejean | Physician Assistant | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-09-08 |
| 1821600149 | Kristen Clement Casey | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-08-18 |
| 1093326407 | Devon Relle | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-08-11 |
| 1710507389 | Hiba Elaasar | Student in an Organized Health Care Education/Training Program | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-04-23 |
| 1598385684 | Heather Cleveland | Physician Assistant | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2020-04-20 |
| 1730717158 | Ryan Gill | Student in an Organized Health Care Education/Training Program | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-31 |
| 1336777390 | Megan Burke | Student in an Organized Health Care Education/Training Program | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-27 |
| 1760010755 | Abby Walker | Nurse Practitioner | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791831 | The Administrators of The Tulane Educational Fund | Clinic/Center | 200 Broadway Avenue, Suite 108, New Orleans, LA 70118 | 2020-08-19 |
| 1730674557 | Louisiana Department of Health, Department of Health and Hospitals | Skilled Nursing Facility | 612 Henry Clay Ave., New Orleans, LA 70118 | 2018-06-25 |
| 1588153167 | Kimberly Felicia Fields | Behavior Technician | 733 Dante St., New Orleans, LA 70118 | 2018-05-09 |
| 1275033029 | Antonia Jennice Hollins | Behavior Technician | 733 Dante, New Orleans, LA 70118 | 2018-02-19 |
| 1922521467 | Amy Mcdonald | Specialist/Technologist | 2950 Ben Weiner Dr., Tulane Univ., Athletic Training Rm, 1st Floor, New Orleans, LA 70118 | 2017-07-17 |
| 1760910848 | Tyler Tunnell | Specialist/Technologist | James Wilson Center, 333 Ben Weiner Drive, New Orleans, LA 70118 | 2017-06-01 |
| 1538692801 | Shneitha Beasley | Counselor | 2619 Leonidas St, New Orleans, LA 70118 | 2017-04-04 |
| 1467826966 | Ethan Alan Solger | Specialist/Technologist | 333 James W Wilson Jr Center, New Orleans, LA 70118 | 2015-11-20 |
| 1225402878 | Heather Ravner | Student in an Organized Health Care Education/Training Program | Ben Weiner Drive, James W. Wilson Jr. Center, New Orleans, LA 70118 | 2015-11-19 |
| 1558735142 | Albert Charles Lindon IIi | Specialist/Technologist | 333 Ben Weiner Dr, New Orleans, LA 70118 | 2015-11-19 |
| Find all providers in zip 70118 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801328737 | Meredith Tremblay | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2017-03-30 |
| 1629480173 | David Rayburn | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2014-06-02 |
| 1982044459 | Ayush Gupta | Emergency Medicine | 200 Henry Clay Avenue, Childrens Hospital of New Orleans, New Orleans, LA 70118-5720 | 2013-06-28 |
| 1093031114 | Jaime Rodrigo Morataya Mejia | Emergency Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2010-04-14 |
| 1023209624 | Benton Robert Marino | Emergency Medicine | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-08-08 |
| 1184723066 | Druby Hebert | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-09-21 |
| 1679672364 | Theodore E Kretschmer | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-09-21 |
| 1700985694 | Carmen Begue | Emergency Medicine | 200 Henry Clay Avenue, New Orleans, LA 70118 | 2006-09-21 |
| 1265543805 | Mark Carbon | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-08-31 |
| 1558472191 | Maria Treme | Emergency Medicine | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-08-31 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70118 |
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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.