JEFFERSON DAVIS EMERGENCY GROUP LLC (NPI# 1043289572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043289572 |
| Entity Type | Organization |
| Organization Name | JEFFERSON DAVIS EMERGENCY GROUP LLC |
| Practice Address |
1634 Elton Rd Jennings LA 70546-3614 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 3376167160 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2016-02-17 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1444375 | 05 |
| Street Address |
1634 ELTON RD |
| City | JENNINGS |
| State | LA |
| Zip Code | 70546-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921160 | Jennings American Legion Hospital, Inc. | Medicare Defined Swing Bed Unit | 1634 Elton Rd, Jennings, LA 70546-3614 | 2005-06-08 |
| 1992326763 | Robin Mark Deshotel | Pharmacist | 1634 Elton Rd, Jennings, LA 70546-3614 | 2020-05-02 |
| 1851948095 | Jennings American Legion Hospital Inc. | General Acute Care Hospital | 1634 Elton Rd, Jennings, LA 70546-3614 | 2019-08-22 |
| 1356998520 | Jennings American Legion Hospital Inc | Clinic/Center | 1634 Elton Rd, Jennings, LA 70546-3614 | 2019-08-22 |
| 1144720780 | Jrc Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1634 Elton Rd, Jennings, LA 70546-3614 | 2018-02-20 |
| 1235646423 | Jennings Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1634 Elton Rd, Jennings, LA 70546-3614 | 2018-01-09 |
| 1174046700 | Jonathan Rochon | Nurse Practitioner | 1634 Elton Rd, Jennings, LA 70546-3614 | 2017-07-25 |
| 1952836629 | Hospital Service District No 1 of The Parrish of Jefferson Davis La | Emergency Medicine | 1634 Elton Rd, Jennings, LA 70546-3614 | 2017-05-01 |
| 1609325034 | Mary Ann Duckworth | Nurse Practitioner | 1634 Elton Rd, Jennings, LA 70546-3614 | 2016-09-27 |
| 1588035372 | Aldes Rozas Md Inc | Radiology | 1634 Elton Rd, Jennings, LA 70546-3614 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374593 | Skye Ringuet | Assistant Behavior Analyst | 611 North State St., Jennings, LA 70546 | 2020-01-03 |
| 1588120612 | Southern Home Care Services, Inc | Technician | 233 N. Main St., Jennings, LA 70546 | 2019-02-13 |
| 1902399249 | Calcasieu Urgent Care LLC | Clinic/Center | 1750 Elton Rd, Jennings, LA 70546 | 2018-06-12 |
| 1407308489 | Jefferson Davis Parish Council On Aging | Non-emergency Medical Transport (VAN) | 210 South State Street, Jennings, LA 70546 | 2016-10-26 |
| 1275906372 | Elizabeth Marie Ogea | Counselor | 203 E Academy Ave, Jennings, LA 70546 | 2015-11-11 |
| 1225401706 | Taylor Farris | Counselor | 1615 Johnston Street, Suite C, Jennings, LA 70546 | 2015-11-05 |
| 1134595622 | Karen Lynn Golla | Nurse Practitioner | 422 Kade Dr Ste 1, Jennings, LA 70546 | 2015-08-19 |
| 1326301615 | Lisa Turner | Registered Nurse | 403 Baker Street, Jennings, LA 70546 | 2012-06-21 |
| 1790057149 | Cenikor Foundation | Counselor | 222 E Academy, Suite A, Jennings, LA 70546 | 2012-02-01 |
| 1821328642 | Eric P Lambousy | Physical Therapist | 1322 Elton Road, Suite I, Jennings, LA 70546 | 2009-12-29 |
| Find all providers in zip 70546 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600086 | Mark Edward Clawson | Emergency Medicine | 805 State St, Jennings, LA 70546-4739 | 2006-10-10 |
| 1952836629 | Hospital Service District No 1 of The Parrish of Jefferson Davis La | Emergency Medicine | 1634 Elton Rd, Jennings, LA 70546-3614 | 2017-05-01 |
| 1649201427 | William Michael Gaar | Emergency Medicine | 1634 Elton Rd, Jennings, LA 70546-3614 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1164956827 | Occucare International Lafayette | Emergency Medicine | 1028 Forum Dr, Broussard, LA 70518-8060 | 2017-04-19 |
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
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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.