OTHOLINO REMEDIOS (NPI# 1952486987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952486987 |
| Entity Type | Individual |
| Full Name | OTHOLINO REMEDIOS |
| Other Name | OTTO REMEDIOS |
| Credential | M.D. |
| Practice Address |
1200 Avenue G Suite # 101 Marrero LA 70072-3765 |
| Mailing Address |
1111 Medical Center Blvd Suite N-502 Marrero LA 70072-3151 |
| Practice Telephone | 5043470202 |
| Practice Fax Number | 5043416475 |
| Mailing Telephone | 5043470202 |
| Mailing Fax Number | 5043416475 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
5066R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1957798 | 05 |
| Street Address |
1200 AVENUE G SUITE # 101, |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326043084 | Charles W. Thomas | Surgery | 1200 Avenue G, Marrero, LA 70072-3765 | 2005-06-17 |
| 1598010589 | Jayme L Boudreaux | Nurse Practitioner | 1200 Avenue G, Marrero, LA 70072-3765 | 2012-07-17 |
| 1811286610 | William Stewart Steinhardt Jr. | Surgery | 1200 Avenue G, Marrero, LA 70072-3765 | 2011-04-01 |
| 1225200298 | Gulf Coast Medical Management | Family Medicine | 1200 Avenue G, Suite# 201, Marrero, LA 70072-3765 | 2008-03-30 |
| 1215985213 | Robert David Cummiskey IIi | Surgery | 1200 Avenue G, Marrero, LA 70072-3765 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948573 | John L. Moore | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1265433320 | Westside Clinics Anc | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072 | 2005-08-10 |
| 1083615652 | Robert L. Guy | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1356342885 | Earl J. Madere | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70072-4338 | 2005-08-09 |
| 1730180183 | Charles Hunter Watts | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
| 1881695237 | Dean A Leone | Pediatrics | 4225 Lapalco Blvd, Marrero, LA 70073-2400 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| 1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
| 1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
| 1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
| 1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
| 1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
| 1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
| 1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
| 1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
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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.