MR. FEIZAL FAKIER JR. (NPI# 1962707455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962707455 |
Entity Type | Individual |
Full Name | MR. FEIZAL FAKIER JR. |
Credential | PA |
Practice Address |
100 Medical Center Dr Slidell LA 70461-5520 |
Practice Telephone | 9856497070 |
Mailing Telephone | 9856497070 |
Enumeration Date | 2011-01-14 |
Last Update Date | 2015-12-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200804.RX | LA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
014557 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2395432 | 05 | |
MS | 02637794 | 05 |
Street Address |
100 MEDICAL CENTER DR |
City | SLIDELL |
State | LA |
Zip Code | 70461-5520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417586587 | Ochsner Clinic LLC | Internal Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2020-04-02 |
1972143337 | Gianna Marie Redmond | Dietitian, Registered | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2020-01-13 |
1740821933 | Shelby Bateman | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2019-09-30 |
1336701069 | Tori Ann Daigrepont | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461 | 2019-07-02 |
1982199295 | Renee Wales Morgan | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2018-06-28 |
1508216144 | Jessica Moran Suit | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2016-06-14 |
1346625175 | Jessica Koon | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-07-22 |
1225419211 | Brant P Domangue | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-06-15 |
1447630041 | Siddartha Bhandary | Internal Medicine | 100 Medical Center Dr, Slidell, LA 70461 | 2015-06-09 |
1114305232 | Xinyu Wu | Pathology | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
Find all providers in zip 70461 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386874337 | Aaron Scott Brasuell | Physician Assistant | 2780 Gause Blvd E Ste A, Slidell, LA 70461-4149 | 2009-07-23 |
1477983856 | Emily Anderson Bassett | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2013-11-20 |
1679909873 | Matthew Joseph Bassett | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2013-09-19 |
1164730495 | Zane Ashton Kirby | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2005 | 2010-09-21 |
1689892812 | Kristin Ann Pippin | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2007-04-23 |
1770642860 | Christopher Scott Grow | Physician Assistant | 2250 Gause Blvd E, Suite 200, Slidell, LA 70461-4235 | 2006-12-06 |
1851360184 | Emergency Group of St Tammany LLC | Physician Assistant | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2006-03-17 |
1508854993 | Misty Melerine Breakfield | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2005-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
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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.