SPINE CIN OF LOUISIANA LLC (NPI# 1982119749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982119749 |
| Entity Type | Organization |
| Organization Name | SPINE CIN OF LOUISIANA LLC |
| Practice Address |
2117 Veterans Memorial Blvd Unit 421 Metairie LA 70002-6321 |
| Mailing Address |
102 Woodmont Blvd Ste 350 Nashville TN 37205-2216 |
| Practice Telephone | 6153860064 |
| Practice Fax Number | 6153860067 |
| Mailing Telephone | 6153860064 |
| Mailing Fax Number | 6153860067 |
| Enumeration Date | 2017-12-02 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | EDWARD LELAN HUTTON EADIE (DIRECTOR) |
| Authorized Official Telephone | 6157332064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | LA | Allopathic & Osteopathic Physicians | |
| Y | 207X00000X | Orthopaedic Surgery | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2117 Veterans Memorial Blvd Unit 421, Metairie, LA 700026321 | 6153860064 | 6153860067 |
| Street Address |
2117 VETERANS MEMORIAL BLVD UNIT 421 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063927838 | Total Joint Cin of Louisiana LLC | Neurological Surgery | 2117 Veterans Memorial Blvd Unit 421, Metairie, LA 70002-6321 | 2017-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390935 | Russell Levy | Orthopaedic Surgery | 4905 Folse Dr, Metairie, LA 70006-1118 | 2012-02-09 |
| 1962694679 | Marco A Rodriguez | Orthopaedic Surgery | 3001 Division St Ste 100, Metairie, LA 70002-5854 | 2007-08-16 |
| 1619184371 | Joseph M Zavatsky | Orthopaedic Surgery | 3535 Severn Ave Ste 8, Metairie, LA 70002-3446 | 2007-05-16 |
| 1578787271 | Courtney L Russo | Orthopaedic Surgery | 3939 Houma Boulevard Ste 18, Metairie, LA 70006-2921 | 2007-04-12 |
| 1801922414 | Rudolf Vaclav Hamsa | Orthopaedic Surgery | 4204 Teuton St Fl 2, Metairie, LA 70006-4164 | 2007-02-26 |
| 1063505303 | Matko Milicic | Orthopaedic Surgery | 312 Friedrichs Ave, Metairie, LA 70005-4519 | 2006-10-01 |
| 1952322992 | La Health Solutions, LLC | Orthopaedic Surgery | 3001 Division St Ste 202, Metairie, LA 70002-5855 | 2006-07-23 |
| 1770537243 | Raul R. Diaz | Orthopaedic Surgery | 4515 Shores Dr, Suite 102, Metairie, LA 70006-6808 | 2006-05-20 |
| 1518916915 | Robert Douglas Bostick IIi | Orthopaedic Surgery | 3001 Division St Ste 204, Metairie, LA 70002 | 2006-05-10 |
| 1730180449 | John B Cazale | Orthopaedic Surgery | 3600 Houma Blvd, Metairie, LA 70006-4230 | 2005-08-03 |
| Find all providers in METAIRIE | ||||
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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.