DR. JOEL E PERDOMO (NPI# 1003128463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003128463 |
| Entity Type | Individual |
| Full Name | DR. JOEL E PERDOMO |
| Credential | M.D. |
| Practice Address |
2104 Gause Blvd W Suitea Slidell LA 70460-4130 |
| Practice Telephone | 9856434575 |
| Practice Fax Number | 9856434513 |
| Mailing Telephone | 9856434575 |
| Mailing Fax Number | 9856434513 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 207966 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2104 GAUSE BLVD W SUITEA |
| City | SLIDELL |
| State | LA |
| Zip Code | 70460-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643094 | Robert Craig Laderer | Family Medicine | 2104 Gause Blvd W, Slidell, LA 70460-4118 | 2005-10-17 |
| 1922322940 | Thomas J Orgeron | General Practice | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2010-03-19 |
| 1821285974 | E. M. Dimitri, D.o. Pmc | Dermatology | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 | 2007-10-02 |
| 1891989380 | Jorge L Cruz | General Practice | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2007-08-28 |
| 1942406616 | Mark D. Callender | Physician Assistant | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2007-06-21 |
| 1770788341 | Belinda Hutchinson Janeski | Nurse Practitioner | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2007-06-15 |
| 1285700732 | Elizabeth M Dimitri | Dermatology | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2006-11-27 |
| 1629095468 | Mehdi Mosadegh | Dermatology | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1336600758 | Alex Duc Pham | Student in an Organized Health Care Education/Training Program | 210 Tiara Dr., Slidell, LA 70460 | 2019-03-28 |
| 1992163851 | Teem Economic Research & Business Community Development, Inc. | Case Management | 36190 Hwy 433, Slidell, LA 70460 | 2016-02-08 |
| 1548607674 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 2170 Gause Boulevard, Suite 133, Slidell, LA 70460 | 2013-05-30 |
| 1164764478 | Carrie Dale Howard | Speech-Language Pathologist | 305 Royal Drive, Slidell, LA 70460 | 2013-03-25 |
| 1427326446 | M L D Institute of Louisiana, LLC | Clinic/Center | 1274 Saint Tammany Ave, Slidell, LA 70460 | 2011-12-05 |
| 1497039069 | Royalty Home Care Service | Home Health | 328 Queen Anne Dr, Slidell, LA 70460 | 2011-09-30 |
| 1154616134 | James Sibley Holmes | Obstetrics & Gynecology | 107 Mary Ellen Dr, Slidell, LA 70460 | 2011-06-17 |
| 1700175734 | Timothy James Moten | Pharmacist | 114 Gause, Slidell, LA 70460 | 2011-03-30 |
| 1205064599 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 2104 Highway 190 W, Slidell, LA 70460 | 2009-06-25 |
| Find all providers in zip 70460 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841791415 | Alpha Medical Center, LLC | General Practice | 3648 Pontchartrain Dr Ste 100, Slidell, LA 70458-4816 | 2018-02-28 |
| 1821397738 | Ochsner Clinic LLC | General Practice | 107 Smart Pl, Slidell, LA 70458-2039 | 2011-03-17 |
| 1982832556 | Ochsner Clinic LLC | General Practice | 2104 Highway 190 West, Slidell, LA 70460-4118 | 2009-06-23 |
| 1366647497 | Kevin Lindsey | General Practice | 122 Weatherly Cv, Slidell, LA 70458-9010 | 2007-06-19 |
| 1780116772 | Ochsner Clinic LLC | General Practice | 1120 Robert Blvd, Ste 330, Slidell, LA 70458-2068 | 2017-03-30 |
| 1548695166 | Ochsner Clinic, LLC | General Practice | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2013-09-13 |
| 1245597822 | Ochsner Clinic LLC | General Practice | 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 | 2012-04-19 |
| 1639441314 | Ochsner Clinic LLC | General Practice | 104 Medical Center Dr, Slidell, LA 70461-5575 | 2012-01-27 |
| 1922322940 | Thomas J Orgeron | General Practice | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2010-03-19 |
| 1902139942 | Ochsner Clinic LLC | General Practice | 2750 E Gause Blvd, Slidell, LA 70461 | 2009-09-09 |
| Find all providers in SLIDELL | ||||
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| 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.