LOUISIANA MEDSHIELD LLC (NPI# 1003479387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003479387 |
| Entity Type | Organization |
| Organization Name | LOUISIANA MEDSHIELD LLC |
| Practice Address |
430 Corporate Dr Ste A Houma LA 70360-2514 |
| Practice Telephone | 9853331421 |
| Practice Fax Number | 9852624651 |
| Mailing Telephone | 9853331421 |
| Mailing Fax Number | 9852624651 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | BEAU PORCHE (AUTHORIZED OFFICIAL/OWNER) |
| Authorized Official Telephone | 9858738586 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
430 CORPORATE DR STE A |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033198650 | Michael S Haydel | Anesthesiology | 1022 Belanger St, Houma, LA 70360-4412 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871605 | Park Plaza Surgical Specialists LLC | Anesthesiology | 8731 Park Plaza Dr Ste B, Shreveport, LA 71105-5682 | 2020-01-27 |
| 1114563160 | Richard C Robertson Jr Md LLC | Anesthesiology | 7039 Highway 190 East Service Rd Ste C, Covington, LA 70433-4961 | 2019-11-25 |
| 1275055618 | Northshore Anesthesia and Pain Associates, LLC | Anesthesiology | 4324 Veterans Memorial Blvd # 101, Metairie, LA 70006-5445 | 2017-07-07 |
| 1659639995 | Doctors Medical Center, LLC | Anesthesiology | 3769 Pontchartrain Dr, Suite 1, Slidell, LA 70458-4852 | 2012-04-24 |
| 1811263296 | Alexander F Bowen | Anesthesiology | 2912 Brookwood St, Gretna, LA 70056-7830 | 2012-03-29 |
| 1609191212 | Tod Alan Aust | Anesthesiology | 740 Gause Blvd, Slidell, LA 70458-2840 | 2010-04-07 |
| 1366673626 | Barry Francis Faust Jr. | Anesthesiology | 4500 Clearview Pkwy Ste 200, Metairie, LA 70006-2351 | 2009-08-05 |
| 1295985000 | Southern Pain & Anesthesia Consultants, LLC | Anesthesiology | 64026 Highway 434, Suite 230, Lacombe, LA 70445-5412 | 2008-09-29 |
| 1265616130 | Musculoskeletal Institute of Louisiana, LLC | Anesthesiology | 2005 Landry Dr, Bossier City, LA 71111 | 2007-12-27 |
| 1851582795 | Eric Inman Royster | Anesthesiology | 2801 Napoleon Ave, New Orleans, LA 70115-6915 | 2007-08-06 |
| Find all providers with the same taxonomy | ||||
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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.