| River Oaks Inc | |
|
1525 River Oaks Rd W New Orleans LA 70123-2162 | |
| (504) 734-1740 | |
| (504) 733-7020 |
| Full Name | River Oaks Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1525 River Oaks Rd W, New Orleans, Louisiana |
| Authorized Official Name and Position | Tanya Watts Powell (OFFICE MANAGER) |
| Authorized Official Contact | 9857341740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Oaks Inc 1525 River Oaks Rd W New Orleans LA 70123-2162 Ph: (504) 734-1740 | River Oaks Inc 1525 River Oaks Rd W New Orleans LA 70123-2162 Ph: (504) 734-1740 |
| NPI Number | 1528230976 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 5193799492 |
|---|---|
| Medicare Enrollment ID | O20040823001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528230976 | NPI | - | NPPES |
| 1947610 | Medicaid | LA | |
| 5D473 | Other | LA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Thomas A Hauth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154490183 PECOS PAC ID: 4789640806 Enrollment ID: I20041209000463 |
| Provider Name | James A Chiverton |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1831314905 PECOS PAC ID: 8123075660 Enrollment ID: I20050406000623 |
| Provider Name | Joseph C Swider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033156294 PECOS PAC ID: 8628175791 Enrollment ID: I20070524000309 |
| Provider Name | Louis E Dedon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174675086 PECOS PAC ID: 4981799582 Enrollment ID: I20070927000336 |
| Provider Name | Mack R Holdiness |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356814 PECOS PAC ID: 5890867402 Enrollment ID: I20080626000220 |
| Provider Name | William K Lo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275602294 PECOS PAC ID: 5799850566 Enrollment ID: I20080814000070 |
| Provider Name | Kimberly M Lavigne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902067168 PECOS PAC ID: 3476709437 Enrollment ID: I20120807000208 |
| Provider Name | Richard M Carr |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1144223108 PECOS PAC ID: 9436339041 Enrollment ID: I20141121001251 |
| Provider Name | Hoa T Le |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871762559 PECOS PAC ID: 6608047964 Enrollment ID: I20160513000748 |
| Provider Name | Adewale O Oyemade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801054366 PECOS PAC ID: 2769629286 Enrollment ID: I20171122001891 |
| Provider Name | Karina Fatova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700206745 PECOS PAC ID: 8820347438 Enrollment ID: I20180815001005 |
| Provider Name | Garrick L Klaybor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588907273 PECOS PAC ID: 1557643491 Enrollment ID: I20181031001220 |
| Provider Name | Hunter M Caskey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164874954 PECOS PAC ID: 5890027114 Enrollment ID: I20201015003142 |
| Provider Name | Ramzi A Shalby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134581556 PECOS PAC ID: 0042503054 Enrollment ID: I20210728003991 |
| Provider Name | Matthew R Slattery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679005318 PECOS PAC ID: 8527333640 Enrollment ID: I20211015000272 |
| Provider Name | Halloran E Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801241328 PECOS PAC ID: 4486949179 Enrollment ID: I20220114002177 |
| Provider Name | Miriam Maite Sevilla Saez-benito |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003134917 PECOS PAC ID: 0345405486 Enrollment ID: I20220512002283 |
| Provider Name | Cassandra Lentz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528590072 PECOS PAC ID: 9739561127 Enrollment ID: I20220802000637 |
| Provider Name | Scott P Lavie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043714801 PECOS PAC ID: 7810244258 Enrollment ID: I20221129000814 |
| Provider Name | Joel B O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790403988 PECOS PAC ID: 4284005257 Enrollment ID: I20230131000078 |
| Provider Name | Paige H Fremen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770277303 PECOS PAC ID: 7517327836 Enrollment ID: I20230718004360 |
| Provider Name | Jeana B Balukonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336829498 PECOS PAC ID: 5092162461 Enrollment ID: I20231107000060 |
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