MS. MISTY T WETZEL (NPI# 1003076647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003076647 |
| Entity Type | Individual |
| Full Name | MS. MISTY T WETZEL |
| Credential | MD |
| Practice Address |
963 Taft Pl New Orleans LA 70119-3827 |
| Practice Telephone | 5043094246 |
| Mailing Telephone | 5043094246 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2014-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 205533 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1104124 | 05 |
| Street Address |
963 TAFT PL |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
| 1023436656 | Colin Devlin | Emergency Medicine | 5022 Laurel St, New Orleans, LA 70115-1729 | 2014-04-01 |
| 1205253366 | Randy Michael Sorge | Emergency Medicine | 2000 Canal St Fl D&t2, New Orleans, LA 70112 | 2014-03-26 |
| 1093130478 | Ronald Christopher Fenton | Emergency Medicine | 2000 Canal St Ste 2720, New Orleans, LA 70112 | 2014-02-21 |
| 1144562554 | Laura Elizabeth Roan | Emergency Medicine | 1542 Tulane Ave # T2m4, New Orleans, LA 70112 | 2013-03-23 |
| 1750640066 | Andre Baugh | Emergency Medicine | 7210 Arbor Dr, New Orleans, LA 70126-3023 | 2012-05-07 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on MS. MISTY T WETZEL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.