NORTHLAKE PRIMARY CARE (NPI# 1063638831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063638831 |
| Entity Type | Organization |
| Organization Name | NORTHLAKE PRIMARY CARE |
| Practice Address |
951 Gause Blvd Ste 2 Slidell LA 70458-2937 |
| Practice Telephone | 9856416454 |
| Practice Fax Number | 9856416458 |
| Mailing Telephone | 9856416454 |
| Mailing Fax Number | 9856416458 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOSE ANTONIO LEFRAN (DOCTOR) |
| Authorized Official Telephone | 9856416454 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD11789R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 14557 | 05 |
| Street Address |
951 GAUSE BLVD STE 2 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002958 | Ochsner Clinic LLC | Internal Medicine | 1051 Gause Blvd Ste 380, Slidell, LA 70458-2997 | 2020-08-04 |
| 1851873954 | Ochsner Clinic LLC | Internal Medicine | 1050 Gause Blvd Ste 320, Slidell, LA 70458-2940 | 2018-09-05 |
| 1093903726 | Koteswara R Pothineni | Internal Medicine | 1051 Gause Blvd Ste 320, Slidell, LA 70458-2988 | 2007-10-09 |
| 1992912794 | David J Cuccia Md LLC | Internal Medicine | 85 Whisperwood Blvd # 2b, Slidell, LA 70458-1136 | 2007-05-17 |
| 1104956382 | Edward Madison IIi | Internal Medicine | 2765 Sgt Alfred Dr, Slidell, LA 70458-4013 | 2007-03-06 |
| 1538202825 | Christy Graves, M.d., Apmc | Internal Medicine | 1850 Gause Blvd E Ste 205, Slidell, LA 70461-5434 | 2007-02-15 |
| 1952444754 | Jimmy L Kittrell Jr. | Internal Medicine | 140 E I 10 Service Rd, Slidell, LA 70461-3564 | 2007-02-14 |
| 1164564324 | Amy Sheeder LLC | Internal Medicine | 303 Koel Ct, Slidell, LA 70461-3205 | 2007-02-13 |
| 1972645786 | Marie Delvalle-mahoney | Internal Medicine | 85 Whisperwood Blvd Ste 2b, Slidell, LA 70458-1136 | 2007-02-12 |
| 1487739736 | Total Family Care LLC | Internal Medicine | 1850 E Gause Blvd #203, Slidell, LA 70461 | 2006-10-26 |
| Find all providers in SLIDELL | ||||
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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.