NEUROSCIENCE CENTER OF THE SOUTH (NPI# 1003281577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003281577 |
| Entity Type | Organization |
| Organization Name | NEUROSCIENCE CENTER OF THE SOUTH |
| Practice Address |
76 Starbrush Cir Covington LA 70433-7208 |
| Practice Telephone | 9858928934 |
| Practice Fax Number | 9858718109 |
| Mailing Telephone | 9858928934 |
| Mailing Fax Number | 9858718109 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | DR. CHAD DOMANGUE (PARTNER) |
| Authorized Official Telephone | 9858010575 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
76 STARBRUSH CIR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404275 | Intra-op Monitoring Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2006-10-23 |
| 1609316066 | Neuroscience & Pain Institute LLC | Non-Pharmacy Dispensing Site | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-03-06 |
| 1932647971 | Brandie Brunet | Nurse Practitioner | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-02-10 |
| 1619426335 | Pain Associates Institute of Neurosciences | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-09-22 |
| 1457715930 | Garrett Michael Simoneaux | Physician Assistant | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-04-11 |
| 1659616696 | Diagnostic and Interventional Spinal Care of Louisiana | Orthopaedic Surgery | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-12-03 |
| 1447518386 | D'wan J Carpenter | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-04-29 |
| 1447549746 | New Jersey Neurophysiological Monitoring Serivces, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1578852869 | New York Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1649569930 | Texas Teleneuromonitoring Serivces, Pa | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736343 | David S Vaughan | Physical Medicine & Rehabilitation | 3926 Barron St Ste C210, Metairie, LA 70002-5798 | 2020-07-02 |
| 1184196784 | Evan Phillips | Physical Medicine & Rehabilitation | 1103 Kaliste Saloom Rd Ste 100&102, Lafayette, LA 70508-5783 | 2018-12-19 |
| 1093236283 | Spine Management Group, LLC | Physical Medicine & Rehabilitation | 4600 S Claiborne Ave Ste 100, New Orleans, LA 70125-5010 | 2017-06-28 |
| 1467808519 | Healthspere Management Group | Physical Medicine & Rehabilitation | 872 Behrman Hwy, Gretna, LA 70056-4546 | 2016-05-09 |
| 1144568320 | Rees Medical Services, LLC | Physical Medicine & Rehabilitation | 1211 Coolidge Blvd Ste 401, Lafayette, LA 70503-2638 | 2013-01-23 |
| 1962636597 | Bayou Physical Medicine, Inc. | Physical Medicine & Rehabilitation | 12038 Lake Sherwood Ave N, Baton Rouge, LA 70816-4341 | 2009-05-11 |
| 1386807444 | Axcess Medical Clinic, Inc | Physical Medicine & Rehabilitation | 524 Elmwood Park Blvd, Suite 100, Harahan, LA 70123-3339 | 2008-07-08 |
| 1124298344 | Satvik Bhargav Munshi | Physical Medicine & Rehabilitation | 3820 Lapalco Blvd, Harvey, LA 70058 | 2008-03-04 |
| 1417167750 | Markus Vattakattil John | Physical Medicine & Rehabilitation | 4021 We Heck Ct, Building M-1, Baton Rouge, LA 70816-0416 | 2007-05-23 |
| 1437263522 | Omni Pain Management, LLC | Physical Medicine & Rehabilitation | 2701 David Dr, Suite A, Metairie, LA 70003-4511 | 2006-08-18 |
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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.