Ambulatory Medical Group | |
5646 Read Blvd Ste 380 New Orleans LA 70127-3148 | |
(504) 518-5822 | |
(504) 518-6378 |
Full Name | Ambulatory Medical Group |
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Speciality | Clinic/Center |
Location | 5646 Read Blvd Ste 380, New Orleans, Louisiana |
Authorized Official Name and Position | Ronald C Mclendon (OWNER) |
Authorized Official Contact | 5046155981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ambulatory Medical Group 1500 Lafayette St Ste 141 Gretna LA 70053-5758 Ph: (504) 510-5511 | Ambulatory Medical Group 5646 Read Blvd Ste 380 New Orleans LA 70127-3148 Ph: (504) 518-5822 |
NPI Number | 1871265694 |
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Provider Enumeration Date | 09/30/2021 |
Last Update Date | 09/30/2021 |
Medicare PECOS PAC ID | 4789078957 |
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Medicare Enrollment ID | O20220304000082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871265694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Joseph B Boucree |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1730110263 PECOS PAC ID: 1850388646 Enrollment ID: I20040426000856 |
Provider Name | Ronald C Mclendon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013151091 PECOS PAC ID: 9537341987 Enrollment ID: I20110307001005 |
Provider Name | Gregory Lamont Lacy |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1073564829 PECOS PAC ID: 4082856489 Enrollment ID: I20130814000957 |
Provider Name | Cornel Rogers |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1750605770 PECOS PAC ID: 5092039032 Enrollment ID: I20150121001855 |
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