MED-PEDS ASSOCIATES APMC (NPI# 1972513117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972513117 |
| Entity Type | Organization |
| Organization Name | MED-PEDS ASSOCIATES APMC |
| Other Organization Name | SUSAN F OVELLA MD AND JACQUES L GUILLOT MD |
| Practice Address |
804 Heavens Dr Suite 106 Mandeville LA 70471 |
| Mailing Address |
4700 Louisiana Hwy 22 Pmb 604 Mandeville LA 70471 |
| Practice Telephone | 9858450004 |
| Practice Fax Number | 9858450870 |
| Mailing Telephone | 9858450004 |
| Mailing Fax Number | 9858450870 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-02-25 |
| Authorized Official Name | MRS. JOE ANNE WELLS (MANAGER) |
| Authorized Official Telephone | 9858450004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445975 | 05 |
| Other Name | Type Code |
|---|---|
| Susan F Ovella MD and Jacques L Guillot MD | Doing Business As Name - Organization |
| Street Address |
804 HEAVENS DR SUITE 106 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853401 | Edward Langlow | Ophthalmology | 804 Heavens Dr, Suite 102, Mandeville, LA 70471-2890 | 2005-07-05 |
| 1912107962 | Northshore Allergy & Immunology, LLC | Allergy & Immunology | 804 Heavens Dr, Suite 203, Mandeville, LA 70471-2890 | 2007-07-18 |
| 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 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710205034 | Shannon Haas | Family Medicine | 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 | 2010-05-11 |
| 1295050599 | Northshore Red-med, LLC | Family Medicine | 4430 Hwy 22, Mandeville, LA 70471 | 2010-03-30 |
| 1053571158 | Candice Leduff Knight | Family Medicine | 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471-1807 | 2008-06-11 |
| 1912106758 | Roy L. Gregory | Family Medicine | 2640 Monroe St, Mandeville, LA 70448-5645 | 2007-07-12 |
| 1487686275 | Mohammed Yousuf | Family Medicine | 4430 Highway 22, Mandeville, LA 70471-3310 | 2006-07-06 |
| 1578510988 | Nathalie Mascherpa-kerkow | Family Medicine | 201 St. Ann Drive, Suite B, Mandeville, LA 70471 | 2006-05-30 |
| 1275581092 | Robert P Guilbault IIi | Family Medicine | 521 Asbury Drive, Mandeville, LA 70471 | 2006-05-04 |
| 1619975836 | Richelle Denese Schiro | Family Medicine | 2810 E. Causeway Approach, Mandeville, LA 70448-3502 | 2005-07-12 |
| 1952941767 | Baptist Community Health Services, Inc. | Family Medicine | 1445 W Causeway Approach, Mandeville, LA 70471-3045 | 2020-01-09 |
| 1306378252 | Gabrielle Givens | Family Medicine | 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 | 2017-03-30 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on MED-PEDS ASSOCIATES APMC.
| 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.