LIBEAU JOSEPH BERTHELOT (NPI# 1023039476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023039476 |
| Entity Type | Individual |
| Full Name | LIBEAU JOSEPH BERTHELOT |
| Credential | M.D. |
| Practice Address |
82525 Highway 25 Folsom LA 70437-6111 |
| Mailing Address |
Po Box 54482 New Orleans LA 70154-4482 |
| Practice Telephone | 9858399895 |
| Practice Fax Number | 9858399884 |
| Mailing Telephone | 9858399895 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 013196 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1300624 | 05 |
| Street Address |
82525 HIGHWAY 25 |
| City | FOLSOM |
| State | LA |
| Zip Code | 70437-6111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539363 | St. Tammany Parish Hospital Service District No 1 | Family Medicine | 82525 Highway 25, Folsom, LA 70437-3116 | 2005-06-22 |
| 1245251602 | Christopher Foret | Family Medicine | 82525 Highway 25, Folsom, LA 70437-6111 | 2006-07-21 |
| 1821019282 | Mark L. James | Family Medicine | 82525 Highway 25, Folsom, LA 70437-6111 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578033536 | Lenora Anne Pierce | Counselor | 916 Washington St., Franklinton, LA 70437 | 2018-12-03 |
| 1326550237 | Robert Julian Segura Jr. | Family Medicine | 13242 Finley Rd., Folsom, LA 70437 | 2017-11-01 |
| 1194125740 | Sonja Watson | Counselor | 13242 Greenwood Rd, Folsom, LA 70437 | 2014-09-02 |
| 1861736274 | Folsom Family Pharmacy, Inc. | Pharmacy | 82150 Highway 25, Folsom, LA 70437 | 2012-11-26 |
| 1871809004 | Patrick Henderson Wainright Jr. | Nurse Practitioner | 82525 Hwy 25, St Tammany Physicians Network-folsom, Folsom, LA 70437 | 2010-08-25 |
| 1669630307 | The Natural Touch Sitting Service | Technician | 83370 Hwy 25, Folsom, LA 70437 | 2008-05-29 |
| 1568654820 | Larry B. Mcmillen | Dentist | 82251 Austin St., Folsom, LA 70437 | 2007-08-10 |
| 1679772321 | James M Pittman | Dentist | 12183 Richardson Hill Rd, Folsom, LA 70437 | 2007-07-13 |
| 1124183256 | Folsom Pharmacy, Inc | Pharmacy | 82150 Hwy 25, Folsom, LA 70437 | 2006-12-27 |
| 1669531372 | The Natural Touch Sitting Service, Inc. | Day Training, Developmentally Disabled Services | 83370 Highway 25, Folsom, LA 70437 | 2006-12-08 |
| Find all providers in zip 70437 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326550237 | Robert Julian Segura Jr. | Family Medicine | 13242 Finley Rd., Folsom, LA 70437 | 2017-11-01 |
| 1134523814 | Simin Kharazi | Family Medicine | 1710 Prairie City Rd Ste 120, Folsom, CA 95630-9592 | 2014-10-09 |
| 1184065930 | Jessica Lauren Wall | Family Medicine | 2575 E Bidwell St Ste 250, Folsom, CA 95630-6447 | 2013-07-09 |
| 1639513823 | Ann Duncan | Family Medicine | 2575 East Bidwell St, Ste 100, Folsom, CA 95630 | 2013-04-18 |
| 1316206071 | Gina Tobalina Md Inc | Family Medicine | 2545 East Bidwell St, Suite 110, Folsom, CA 95630-6443 | 2012-05-15 |
| 1306079660 | Eleonor Loyola Griffith | Family Medicine | 1611 Creekside Dr Ste 101, Folsom, CA 95630-3490 | 2009-09-02 |
| 1902087422 | Vicentekuo Chee Quan | Family Medicine | 101 Heart Butte Ct, Folsom, CA 95630 | 2007-11-27 |
| 1376756833 | Gina Tobalina | Family Medicine | 2545 E Bidwell St Ste 110, Folsom, CA 95630-6443 | 2007-05-08 |
| 1073614350 | Joanna Hoang Nguyen | Family Medicine | 1641 Creekside Dr Ste 201, Folsom, CA 95630-3831 | 2006-09-26 |
| 1275557175 | Marlo Maddox-kleckley | Family Medicine | 2795 E Bidwell St # 100-189, Folsom, CA 95630-6405 | 2006-07-26 |
| Find all providers in FOLSOM | ||||
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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.