DR. MARCELO GRANADO POLANCO (NPI# 1982789194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982789194 |
| Entity Type | Individual |
| Full Name | DR. MARCELO GRANADO POLANCO |
| Credential | MD |
| Practice Address |
731 S Main St Ste A Church Point LA 70525 |
| Practice Telephone | 3376840911 |
| Practice Fax Number | 3376840912 |
| Mailing Telephone | 3376840911 |
| Mailing Fax Number | 3376840912 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 023828 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1485438 | 05 |
| Street Address |
731 S MAIN ST STE A |
| City | CHURCH POINT |
| State | LA |
| Zip Code | 70525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083143424 | Kristy Rose Johnson | Counselor | 575 N Huckaby St, Church Point, LA 70525 | 2017-06-08 |
| 1639325830 | Pellman's, LLC | Durable Medical Equipment & Medical Supplies | 300 North Main St., Church Point, LA 70525 | 2008-08-07 |
| 1609904044 | Church Point Community Pharmacy | Pharmacy | 731 S Main St, Suite B, Chruch Point, LA 70525 | 2007-02-28 |
| 1205923901 | Trinity Medical Supplies L.L.C. | Durable Medical Equipment & Medical Supplies | 190 St Matthew Drive, Church Point, LA 70525 | 2006-10-06 |
| 1093979213 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 821 South Main Street, Church Point, LA 70525 | 2008-07-16 |
| 1508857954 | Physical Therapy Services of Church Point Inc | Clinic/Center | 119 South Main St, Church Point, LA 70525-0119 | 2005-11-03 |
| 1114434248 | Ace Care Givers Company Inc | In Home Supportive Care | 906 E Plaquemine St, Church Point, LA 70525-2018 | 2018-01-10 |
| 1487162582 | Ace Care Givers Company Inc | In Home Supportive Care | 906 E Plaquemine St, Church Point, LA 70525-2018 | 2018-01-11 |
| 1578827705 | Ace Personal Healthcare Services LLC | In Home Supportive Care | 534 N Hamilton St, Church Point, LA 70525-2025 | 2012-07-03 |
| 1639538515 | Ace Care Giving Service Central | In Home Supportive Care | 534 N Hamilton St, Church Point, LA 70525-2025 | 2016-02-19 |
| Find all providers in zip 70525 | ||||
| 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 |
|---|---|---|---|---|
| 1841627882 | Church Point Primary Care, LLC | Family Medicine | 202 Murrell St, Church Point, LA 70525-2950 | 2013-10-06 |
| 1093761645 | Ty Glenn Hargroder | Family Medicine | 820 S Broadway St, Church Point, LA 70525-4402 | 2006-05-25 |
| 1730734344 | Hannah Christine Hebert | Family Medicine | 814 S Broadway St, Church Point, LA 70525-4402 | 2019-08-09 |
| 1942462254 | Felton Family Care, Inc | Family Medicine | 814 S Broadway St, Church Point, LA 70525-4402 | 2008-06-27 |
| 1356484703 | Hargroder Medical, Inc. | Family Medicine | 820 S Broadway St, Church Point, LA 70525-4402 | 2007-02-15 |
| 1083770556 | Acadia-st Landry Hospital | Family Medicine | 810 S Broadway St, Church Point, LA 70525-4402 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | CHURCH POINT |
| Zip Code | 70525 |
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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.