JOEL GLEN ELDRIDGE (NPI# 1053365130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053365130 |
| Entity Type | Individual |
| Full Name | JOEL GLEN ELDRIDGE |
| Credential | D.O. |
| Practice Address |
233 Taylor Ave Winnsboro LA 71295-2431 |
| Mailing Address |
425 Highway 577 Winnsboro LA 71295-5367 |
| Practice Telephone | 3184358363 |
| Practice Fax Number | 3184350406 |
| Mailing Telephone | 3187223759 |
| Mailing Fax Number | 3184350406 |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 08682R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1918296 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972158780 | Joel Eldridge | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-08 |
| Street Address |
233 TAYLOR AVE |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295-2431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912949652 | Northeast La Ambulance Svc LLC | Ambulance | 233 Taylor Ave, Winnsboro, LA 71295 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| 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 |
|---|---|---|---|---|
| 1639308380 | Mark Edward Shaffer | Family Medicine | 56 Us Highway 321 Byp N, Winnsboro, SC 29180-7100 | 2009-07-02 |
| 1609031400 | Charlie Jean Wofford | Family Medicine | 1136 Kincaid Bridge Rd, Suite A, Winnsboro, SC 29180-7116 | 2008-07-22 |
| 1184737892 | Fairfield Medical Associates, Pa | Family Medicine | 880 West Moultrie St., Suite 200, Winnsboro, SC 29180-1280 | 2006-08-16 |
| 1306897038 | Mario A. Gutierrez | Family Medicine | 719 W Coke Rd # Mob4, Ste 6, Winnsboro, TX 75494-3011 | 2006-05-15 |
| 1568438323 | Jimmy R Coughran | Family Medicine | 101 Fair Avenue, Winnsboro, LA 71295-2116 | 2006-02-23 |
| 1982670733 | Thomas L Colvin | Family Medicine | 2106 Loop Rd Ste A, Winnsboro, LA 71295-3343 | 2006-02-23 |
| 1013919604 | Charles E Reed | Family Medicine | 3326 Front St, Suite B, Winnsboro, LA 71295-6487 | 2005-08-12 |
| 1215580113 | Memory Clinic of Louisiana | Family Medicine | 3326 Front St Ste B, Winnsboro, LA 71295-6418 | 2019-07-19 |
| 1619479888 | Alexandra Cooper Berry | Family Medicine | 2106 Loop Rd, Winnsboro, LA 71295-3344 | 2018-03-05 |
| 1760980676 | Directional Wellness Medical Partners Pllc | Family Medicine | 213 N Main St, Winnsboro, TX 75494-2521 | 2018-01-25 |
| Find all providers in WINNSBORO | ||||
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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.