COAST GUARD ISC NOLA (NPI# 1053598557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053598557 |
| Entity Type | Organization |
| Organization Name | COAST GUARD ISC NOLA |
| Practice Address |
1790 Saturn Road New Orleans LA 70129-2218 |
| Mailing Address |
1790 Saturn Road New Orleans LA 70129 |
| Practice Telephone | 5042536506 |
| Mailing Telephone | 5042536506 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Authorized Official Name | FRANCISCO LAGO-VELEZ (MEDICAL OFFICER) |
| Authorized Official Telephone | 5043291421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Street Address |
1790 SATURN ROAD |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70129-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730347352 | Layla Jea Bariolo | Technician, Other | 1790 Saturn Road, Medical Clinic, New Orleans, LA 70129 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669622387 | Uscg Isc New Orleans | Clinic/Center | 1800 Old Gentilly Road, New Orleans, LA 70129 | 2008-09-30 |
| 1003079195 | Christopher Lynn Anderson | Military Health Care Provider | 1790 Saturn Blvd, New Orleans, LA 70129 | 2008-07-08 |
| 1265615298 | Nghiem D Nguyen | Dentist | 4626a Alcee Fortier, New Orleans, LA 70129 | 2007-12-13 |
| 1427245158 | Premium Healthcare Services, Inc | Clinic/Center | 16500 Chef Menteur Hwy, New Orleans, LA 70129 | 2007-09-26 |
| 1942361001 | Maria Antonia Cintron | Technician, Other | 13800 Old Gentilly Road, Uscg Isc Nola Health Services Division, New Orleans, LA 70129 | 2006-12-13 |
| 1124425137 | Loreigh Christine Castro | Spec/Tech, Pathology | 1790 Saturn Blvd, Apo, AP 70129 | 2014-11-20 |
| 1033516042 | Gina Markle | Military Health Care Provider | 1790 Saturn Blvd, New Orleans, LA 70129 | 2014-11-20 |
| 1669879672 | Shelby Valora Cooper | Military Health Care Provider | 1790 Saturn Blvd, Uscg Medical Clinic, New Orleans, LA 70129 | 2014-11-20 |
| 1023320173 | Ngoc Anh Tran | Dentist | 14401 Chef Menteur Hwy, New Orleans, LA 70129 | 2010-07-06 |
| 1841624319 | Phong Thanh Truong | Pharmacist | 13225 Willowbrook Dr, New Orleans, LA 70129-1029 | 2013-09-02 |
| Find all providers in zip 70129 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780742049 | Base New Orleans Clinic | Clinic/Center | 1790 Saturn St, Uscg Base Nola Medical Clinic, New Orleans, LA 70129-2270 | 2006-12-05 |
| 1538123435 | Naval Ambulatory Care Center | Clinic/Center | 2300 General Meyer Ave., Bldg H100, New Orleans, LA 70142-0001 | 2006-04-17 |
| 1396046462 | Hswl Neworleans | Clinic/Center | 1790 Saturn St, New Orleans, LA 70129-2270 | 2010-11-05 |
| 1629278064 | Branch Medical Clinic Belle Chasse | Clinic/Center | 400 Russell Ave, Bldg 41, New Orleans, LA 70143-5077 | 2007-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093129124 | Bayne-jones Army Community Hospital | Clinic/Center | 2040 Dragoon Loop, Bldg 1170, Fort Polk, LA 71459-5242 | 2014-06-17 |
| 1669815429 | Bayne-jones Army Community Hospital | Clinic/Center | 8103 Georgia Avenue, Bldg 3516, Ft Polk, LA 71459 | 2013-04-11 |
| 1578891222 | Bayne-jones Army Community Hospital | Clinic/Center | 8097 Georgia Ave, Bldg 3507, Ft Polk, LA 71459 | 2009-11-18 |
| 1619172905 | Bayne-jones Army Community Hospital | Clinic/Center | 1561 Mississippi Street, Fort Polk, LA 71459 | 2007-06-18 |
| 1841547650 | Bayne-jones Army Community Hospital | Clinic/Center | 8091 Georgia Ave, Bld 3504 Ctmc, Fort Polk, LA 71459-5468 | 2012-08-10 |
| 1609024504 | Bayne-jones Army Community Hospital | Clinic/Center | 1585 3rd St, Chesser Dental Clinic, Fort Polk, LA 71459-5102 | 2008-09-04 |
| 1811192461 | Bayne-jones Army Community Hospital | Clinic/Center | 1585 3rd St, Building 285, Fort Polk, LA 71459-5102 | 2007-06-15 |
| City | NEW ORLEANS |
| Zip Code | 70129 |
Please comment or provide details below to improve the information on COAST GUARD ISC NOLA.
| 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.