MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC. (NPI# 1023185220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023185220 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC. |
| Practice Address |
102 Thomas Rd Suite 103 West Monroe LA 71291-7365 |
| Mailing Address |
102 Thomas Rd Suite 103 West Monroe LA 71291-7366 |
| Practice Telephone | 3183871946 |
| Practice Fax Number | 3183878781 |
| Mailing Telephone | 3183871946 |
| Mailing Fax Number | 3183878781 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-01-09 |
| Authorized Official Name | ASSAD HUSEIN MOUHAFFEL (OWNER) |
| Authorized Official Telephone | 3183871946 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
12175R | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1448508 | 05 |
| Street Address |
102 THOMAS RD SUITE 103 |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-7365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124087028 | Gastrointestinal Consultants, Inc | Internal Medicine | 102 Thomas Rd, Suite 506, West Monroe, LA 71291-5550 | 2006-03-20 |
| 1588108054 | Kassi Breaux Guidry | Pharmacist | 102 Thomas Rd, West Monroe, LA 71291-7366 | 2016-12-18 |
| 1245648385 | Suzette Eppinette | Nurse Practitioner | 102 Thomas Rd, Suite 103, West Monroe, LA 71291-7366 | 2014-07-31 |
| 1932455011 | Kathryn Raymond Laborde | Nurse Practitioner | 102 Thomas Rd, Ste 114, West Monroe, LA 71291-7366 | 2012-07-26 |
| 1730469818 | Samer N Roy, Md LLC | Internal Medicine | 102 Thomas Rd, Ste 504, West Monroe, LA 71291-7366 | 2011-08-22 |
| 1073801635 | Jennifer Elliott Creel | Nurse Practitioner | 102 Thomas Rd, Suite 104, West Monroe, LA 71291-7366 | 2011-07-18 |
| 1053607085 | Henry C. Zizzi, IIi, M.d., Apmc | Surgery | 102 Thomas Rd, Suite 203, West Monroe, LA 71291-7366 | 2011-06-28 |
| 1225327695 | Charles Joseph Miller | Pharmacist | 102 Thomas Rd, Suite 200, West Monroe, LA 71291-7366 | 2011-04-06 |
| 1649586850 | Robert D. Marx, M.d. Amc | Urology | 102 Thomas Rd, Suite 108, West Monroe, LA 71291-7366 | 2010-08-25 |
| 1356672976 | Maguire Plastic Surgery, LLC | Surgery | 102 Thomas Rd, Suite 119, West Monroe, LA 71291-7366 | 2010-01-21 |
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|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1508227604 | Acadiana Allergy, Asthma and Immunology Center, LLC | Clinic/Center | 300 Rue Beauregard Ste F, Lafayette, LA 70508 | 2016-03-16 |
| 1215398631 | Stonewall Eye Care | Clinic/Center | 2434 Highway 171, Stonewall, LA 71078-9420 | 2016-03-11 |
| 1306273511 | Va Culotta Jr Md LLC | Clinic/Center | 4420 Conlin St., Ste 300, Metairie, LA 70006 | 2013-10-02 |
| 1306109350 | Active Spine Care LLC | Clinic/Center | 8108 Picardy Ave Ste E, Baton Rouge, LA 70809-3514 | 2012-06-22 |
| 1003183047 | Clear Imaging LLC | Clinic/Center | 1241a 7th St, Slidell, LA 70458-2041 | 2011-11-18 |
| 1295064004 | Cynthia A. Williams, A.p.m.c. | Clinic/Center | 3555 Loyola Dr, Kenner, LA 70065-7706 | 2009-12-08 |
| 1205075256 | Peter Hertzak M.d. Pmc | Clinic/Center | 985 Robert Blvd Ste 102, Slidell, LA 70458-2063 | 2009-02-16 |
| 1215191903 | Myriam D Hutchinson Md | Clinic/Center | 104 N. Hospital Dr., Abbeville, LA 70510-4039 | 2008-07-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
Please comment or provide details below to improve the information on MEDICAL ASSOCIATION OF NORTHEAST LOUISIANA INC..
| 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.