| |
4228 Houma Blvd Ste 200 Metairie LA 70006-3004 | |
(504) 454-7878 | |
(504) 883-3775 |
Full Name | |
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Speciality | Family Medicine |
Location | 4228 Houma Blvd Ste 200, Metairie, Louisiana |
Authorized Official Name and Position | Gerald Parton (CEO) |
Authorized Official Contact | 5045034020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
4300 Houma Blvd Ste 202 Metairie LA 70006-2924 Ph: (504) 503-6700 | 4228 Houma Blvd Ste 200 Metairie LA 70006-3004 Ph: (504) 454-7878 |
NPI Number | 1891884516 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 11/10/2020 |
Medicare PECOS PAC ID | 0244650851 |
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Medicare Enrollment ID | O20201111000592 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891884516 | NPI | - | NPPES |
1940089 | Medicaid | LA |
Provider Name | James A Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124025283 PECOS PAC ID: 2264416403 Enrollment ID: I20040616000055 |
Provider Name | Rade Pejic |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1982683199 PECOS PAC ID: 9436125416 Enrollment ID: I20040910000013 |
Provider Name | Robert C Ryan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811940588 PECOS PAC ID: 0749313666 Enrollment ID: I20100729000264 |
Provider Name | John Kevin Russ |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750333704 PECOS PAC ID: 8921290040 Enrollment ID: I20101007001082 |
Provider Name | Richard Edward Bridges |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063703924 PECOS PAC ID: 4688896046 Enrollment ID: I20141119001990 |
Provider Name | David J Bateman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871852301 PECOS PAC ID: 9830419001 Enrollment ID: I20150529001009 |
Provider Name | Jessica L Gilbert |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144633017 PECOS PAC ID: 9739477506 Enrollment ID: I20170718000265 |
Provider Name | Ronald Andrew Slipman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710397542 PECOS PAC ID: 2668760455 Enrollment ID: I20170926001493 |
Provider Name | Brittany L Tav |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871970988 PECOS PAC ID: 0446533699 Enrollment ID: I20180703001539 |
Provider Name | David B Newsome |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932634813 PECOS PAC ID: 5092079822 Enrollment ID: I20200508002039 |
Provider Name | Amy Katherine Galiano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780247841 PECOS PAC ID: 4880075043 Enrollment ID: I20220719002001 |
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