Internal Medicine Clinic Of Tangipahoa, Llc | |
42388 Pelican Professional Park Hammond LA 70403 | |
(985) 542-6251 | |
(985) 345-2386 |
Full Name | Internal Medicine Clinic Of Tangipahoa, Llc |
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Speciality | Internal Medicine |
Location | 42388 Pelican Professional Park, Hammond, Louisiana |
Authorized Official Name and Position | Nicholas C Stevens (PARTNER) |
Authorized Official Contact | 9855426251 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Clinic Of Tangipahoa, Llc Po Box 1799 Hammond LA 70404-1799 Ph: (985) 542-6251 | Internal Medicine Clinic Of Tangipahoa, Llc 42388 Pelican Professional Park Hammond LA 70403 Ph: (985) 542-6251 |
NPI Number | 1588678494 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 08/23/2021 |
Medicare PECOS PAC ID | 9234034778 |
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Medicare Enrollment ID | O20031206000015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588678494 | NPI | - | NPPES |
10664-EQT2 | Other | LA | PODIATRY X-RAY REG # |
19D0997591 | Other | LA | MAIN LAB CLIA # |
5CB03 | Other | LA | GROUP NUMBER |
1442933 | Medicaid | LA | |
10664-EQT1 | Other | LA | X-RAY REG # |
Provider Name | Joseph P Dileo |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1396774824 PECOS PAC ID: 7214984061 Enrollment ID: I20050404000640 |
Provider Name | Mark Drummond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356462972 PECOS PAC ID: 8628179108 Enrollment ID: I20070727000512 |
Provider Name | Sousan L Zadeh |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1194920710 PECOS PAC ID: 2769534148 Enrollment ID: I20090715000707 |
Provider Name | Shani G Booth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407087034 PECOS PAC ID: 2062558240 Enrollment ID: I20090930000732 |
Provider Name | Leonard Treanor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487823506 PECOS PAC ID: 1759455876 Enrollment ID: I20100223000307 |
Provider Name | Kyle L Caulfield |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164420162 PECOS PAC ID: 5597660035 Enrollment ID: I20100820000708 |
Provider Name | Nicholas C Stevens |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477551612 PECOS PAC ID: 4688579121 Enrollment ID: I20100914000554 |
Provider Name | Rafael O Robledo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497965198 PECOS PAC ID: 5597947168 Enrollment ID: I20110303000686 |
Provider Name | Brianne G Lagasse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114316635 PECOS PAC ID: 3577880384 Enrollment ID: I20150316000985 |
Provider Name | Scott Picou |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346506821 PECOS PAC ID: 4183936073 Enrollment ID: I20150707001122 |
Provider Name | Alison L Thornhill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528409612 PECOS PAC ID: 7719284926 Enrollment ID: I20160401000251 |
Provider Name | Allen Ryan Seal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083072623 PECOS PAC ID: 0446558720 Enrollment ID: I20160420000844 |
Provider Name | Megan M Mcgoey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679933287 PECOS PAC ID: 1456643386 Enrollment ID: I20161026001235 |
Provider Name | Joan C Peperone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922538222 PECOS PAC ID: 2769755313 Enrollment ID: I20170905000463 |
Provider Name | Kristina M Gross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104349950 PECOS PAC ID: 2466718622 Enrollment ID: I20171106000310 |
Provider Name | Jennifer C Roche |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477047512 PECOS PAC ID: 3870841851 Enrollment ID: I20180808000414 |
Provider Name | Nicholas Ryan Boone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245725837 PECOS PAC ID: 3971853441 Enrollment ID: I20180904001278 |
Provider Name | Staci R Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750879672 PECOS PAC ID: 4082965009 Enrollment ID: I20181001001684 |
Provider Name | Chelsea Marie Rodi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528532728 PECOS PAC ID: 0547501926 Enrollment ID: I20190411002759 |
Provider Name | Angela R Paretti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124686571 PECOS PAC ID: 9436489630 Enrollment ID: I20191002000590 |
Provider Name | Krizia Robledo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033656491 PECOS PAC ID: 5193056067 Enrollment ID: I20191007002674 |
Provider Name | Christopher D Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861026049 PECOS PAC ID: 5799198917 Enrollment ID: I20210107002667 |
Provider Name | Amy Renee Miles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356936694 PECOS PAC ID: 1557779899 Enrollment ID: I20210426001736 |
Provider Name | Kim C. Fugarino |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033790332 PECOS PAC ID: 9335549633 Enrollment ID: I20210608001650 |
Provider Name | Anna Price |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902553613 PECOS PAC ID: 5890172191 Enrollment ID: I20220506000872 |
Provider Name | Kirsten M Held |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457075939 PECOS PAC ID: 8426426602 Enrollment ID: I20221118001211 |
Provider Name | Erica Huston |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154034247 PECOS PAC ID: 0446621957 Enrollment ID: I20230120000348 |
Provider Name | Paul J Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336847706 PECOS PAC ID: 8527433226 Enrollment ID: I20230411002800 |
Provider Name | Tiffany M Brady |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073249272 PECOS PAC ID: 6608239785 Enrollment ID: I20230823002122 |
Provider Name | Kenberly K Baughman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275248536 PECOS PAC ID: 4587018064 Enrollment ID: I20231003000410 |
Internal Medicine Of Hammond, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 W Thomas St, Hammond, LA 70401 Phone: 985-230-4466 | |
Total Healthcare Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15825 Professional Plz, Suite C, Hammond, LA 70403 Phone: 985-662-5776 Fax: 985-662-5718 | |
Accessible Walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 J W Davis Dr Ste 102, Hammond, LA 70403 Phone: 985-956-7370 Fax: 985-956-7371 | |
In And Out Primary Care And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15814 Professional Plz, Hammond, LA 70403 Phone: 504-323-5758 Fax: 504-323-5824 | |
Tangi Wellness & Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 C M Fagan Dr Ste B3, Hammond, LA 70403 Phone: 985-345-1555 Fax: 985-345-1558 | |
Southeast Community Health Systems Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Erwin Neil Way Hammond, Hammond, LA 70403 Phone: 888-414-7247 Fax: 225-658-1282 | |
North Oaks Orthopedic Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15813 Paul Vega Md Dr, Suite 100, Hammond, LA 70403 Phone: 985-230-2663 Fax: 985-230-2665 |