MICHAEL A PUENTE (NPI# 1982640074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982640074 |
| Entity Type | Individual |
| Full Name | MICHAEL A PUENTE |
| Credential | MD |
| Practice Address |
1111 Medical Center Blvd Ste S-750 Marrero LA 70072 |
| Practice Telephone | 5043406976 |
| Practice Fax Number | 5043496786 |
| Mailing Telephone | 5043406976 |
| Mailing Fax Number | 5043496786 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2017-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
017973 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1386847 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558757153 | Michael Albert Puente Jr. | Ophthalmology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-09 |
| Street Address |
1111 MEDICAL CENTER BLVD STE S-750 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
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| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477828762 | Kaveh David Khoobehi | Psychiatry & Neurology | 1111 Medical Center Blvd, Suite S750, Marrero, LA 70072-3151 | 2012-03-20 |
| 1801103247 | Lauren Sharett | Psychiatry & Neurology | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2010-09-07 |
| 1427094515 | Walter D Truax | Psychiatry & Neurology | 1111 Medical Center Blvd., Ste S750, Marrero, LA 70072 | 2006-06-20 |
| 1245276336 | Steven T Atkins | Psychiatry & Neurology | 1111 Medical Center Blvd., Suite S750, Marrero, LA 70072 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374746 | Neupro LLC | Psychiatry & Neurology | 17086 Abita Ave, Prairieville, LA 70769-3369 | 2020-07-23 |
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1881056778 | Miguel Federico Molina | Psychiatry & Neurology | 2912 Robert St, New Orleans, LA 70125-5033 | 2016-03-22 |
| 1750743621 | Jessica Chachere Baity | Psychiatry & Neurology | 1542 Tulane Ave Fl 7, New Orleans, LA 70112-2865 | 2016-03-22 |
| 1629451638 | Chaitanya Amrutkar | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2015-07-08 |
| 1962899872 | Tashfin Samiul Huq | Psychiatry & Neurology | 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301-5078 | 2015-04-17 |
| 1841684263 | Oliver Achi | Psychiatry & Neurology | 2312 E Main St Ste C, New Iberia, LA 70560-4064 | 2015-03-24 |
| 1104232289 | Martha Montgomery Robinson | Psychiatry & Neurology | 1430 Tulane Ave # 8065, New Orleans, LA 70112-2632 | 2014-07-09 |
| 1124439328 | Tanya Kapoor-maini | Psychiatry & Neurology | 120 Ochsner Blvd Ste 320, Gretna, LA 70056 | 2014-05-12 |
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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.