| |
200 W Esplanade Ave Kenner LA 70065-2489 | |
(504) 464-2940 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 200 W Esplanade Ave, Kenner, Louisiana |
Authorized Official Name and Position | Atara Mcavoy (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5044121819 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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478 S Johnson St Fl 6 New Orleans LA 70112-2238 Ph: () - | 200 W Esplanade Ave Kenner LA 70065-2489 Ph: (504) 464-2940 |
NPI Number | 1285285510 |
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Provider Enumeration Date | 09/27/2019 |
Last Update Date | 12/04/2024 |
Medicare PECOS PAC ID | 7911334503 |
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Medicare Enrollment ID | O20200220000369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285285510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Daniel K Jens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508814203 PECOS PAC ID: 6305810714 Enrollment ID: I20040823000377 |
Provider Name | Ernest James |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568438745 PECOS PAC ID: 4486618295 Enrollment ID: I20041112000005 |
Provider Name | Ronald J Gagne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588914436 PECOS PAC ID: 2062470867 Enrollment ID: I20041227000662 |
Provider Name | Najy N Masri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083642128 PECOS PAC ID: 0446267991 Enrollment ID: I20060308000815 |
Provider Name | Sanjay Kamboj |
---|---|
Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1487676243 PECOS PAC ID: 7618070608 Enrollment ID: I20070312000608 |
Provider Name | Kristi A Boudreaux |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447466941 PECOS PAC ID: 8224129317 Enrollment ID: I20070803000086 |
Provider Name | Janice L Hudson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912011370 PECOS PAC ID: 2567569379 Enrollment ID: I20080219000547 |
Provider Name | Pamela M Wiseman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699860411 PECOS PAC ID: 0648304519 Enrollment ID: I20100813000451 |
Provider Name | James S Campbell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700950870 PECOS PAC ID: 7012032808 Enrollment ID: I20100916001048 |
Provider Name | Susan J Berry |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205858941 PECOS PAC ID: 6406031368 Enrollment ID: I20110420000004 |
Provider Name | Ross E Mccarron |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245471226 PECOS PAC ID: 1557524527 Enrollment ID: I20120601000003 |
Provider Name | Houston Gordon Bonnyman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215222765 PECOS PAC ID: 5991098451 Enrollment ID: I20160721002231 |
Provider Name | Tracy N Carlson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1356657340 PECOS PAC ID: 9436429743 Enrollment ID: I20170719002819 |
Provider Name | Severyn Yaroshevsky |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205835287 PECOS PAC ID: 0446210876 Enrollment ID: I20180207001087 |
Provider Name | Madeline E Cozad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003298456 PECOS PAC ID: 4284910712 Enrollment ID: I20181203002677 |
Provider Name | Jolie M Leblanc |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295147163 PECOS PAC ID: 0345586889 Enrollment ID: I20190104000455 |
Provider Name | Lindsay M Liles |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093219560 PECOS PAC ID: 8022364355 Enrollment ID: I20210719001525 |
Provider Name | Arika D Wadley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477146215 PECOS PAC ID: 0143628131 Enrollment ID: I20211005002746 |
Provider Name | Maxwell G Mccray |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003227612 PECOS PAC ID: 1456572932 Enrollment ID: I20230126000734 |
Provider Name | Daniel Keith Holmes |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790312940 PECOS PAC ID: 8628490034 Enrollment ID: I20230509001265 |
Provider Name | Allison Marie Pinner |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447888565 PECOS PAC ID: 7810318276 Enrollment ID: I20230524002284 |
Fast Cure Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 Williams Blvd, Suite A, Kenner, LA 70062 Phone: 504-467-1937 Fax: 504-467-1938 | |
Healing Doctors Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 34th St, Kenner, LA 70065 Phone: 504-352-2802 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 W Esplanade Ave, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 | |
Bonnabel Sbhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Bruin Drive, Kenner, LA 70065 Phone: 504-303-6676 Fax: 504-303-6680 | |
Health Guard Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Williams Blvd, Suite K, Kenner, LA 70062 Phone: 504-466-9386 Fax: 504-466-9312 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 819 W Esplanade Ave Ste B, Kenner, LA 70065 Phone: 504-575-3712 Fax: 504-575-3691 | |