HERNAN ANTONIO BAZAN (NPI# 1073714358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073714358 |
| Entity Type | Individual |
| Full Name | HERNAN ANTONIO BAZAN |
| Credential | M.D. |
| Practice Address |
1514 Jefferson Highway 8th Floor-clinic New Orleans LA 07012 |
| Mailing Address |
1514 Jefferson Highway 8th Floor-clinic New Orleans LA 70121 |
| Practice Telephone | 5048424053 |
| Practice Fax Number | 5048425017 |
| Mailing Telephone | 5048424053 |
| Mailing Fax Number | 5048425017 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2011-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
201525 | LA | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
044485 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1014630 | 05 | |
| CT | DEA | AY26291556273 | 01 |
| CT | LICENSE | 044485 | 01 |
| MS | 01078003 | 05 |
| Street Address |
1514 JEFFERSON HIGHWAY 8TH FLOOR-CLINIC |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 07012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213069 | David S Bruce | Transplant Surgery | 1514 Jefferson Highway, New Orleans, LA 70121 | 2005-05-23 |
| 1205450269 | Ogechukwu Kenechukwu Obiejesi | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Emergency Medicine Department, New Orleans, LA 70121 | 2020-06-04 |
| 1588157796 | Margo A Sanders | Nurse Anesthetist, Certified Registered | 1514 Jefferson Highway, New Orleans, LA 70121 | 2018-06-12 |
| 1245751163 | Amanda Clewis Lambert | Speech-Language Pathologist | 1514 Jefferson Highway, 4n-ct (4th Floor North, Clinic Tower), New Orleans, LA 70121 | 2017-06-30 |
| 1679003354 | Michele Falin | Dietitian, Registered | 1514 Jefferson Highway, Ochsner Medical Center, 5th Floor Clinic Tower, New Orleans, LA 70121 | 2017-06-15 |
| 1417486606 | Colin Bert Mckay | Podiatrist | 1514 Jefferson Highway, Atrium Tower, New Orleans, LA 70121 | 2017-06-09 |
| 1538504287 | Badr Abdullah Alsaleh | Student in an Organized Health Care Education/Training Program | 1514 Jefferson Highway, Brent House Room 634, New Orleans, LA 70121 | 2013-05-08 |
| 1396094405 | Julie M. Castex | Clinical Nurse Specialist | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2012-09-05 |
| 1679830111 | Merrill Harpe Stewart IIi | Internal Medicine | 1514 Jefferson Highway, Ochsner Clinic Foundation - Cardiology Fellowship Progr, New Orleans, LA 70121 | 2012-04-23 |
| 1801182589 | Sonya Trinh | Internal Medicine | 1514 Jefferson Highway, New Orleans, LA 70121-2908 | 2011-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285645705 | Claudie Suzanne Mcarthur Sheahan Md | Surgery | 2820 Napoleon Ave Ste 700, New Orleans, LA 70115-8291 | 2006-08-10 |
| 1851399174 | Larry Harold Hollier | Surgery | 433 Bolivar St, Suite 815, New Orleans, LA 70112-7021 | 2005-07-11 |
| 1245659549 | Godfrey Ross Parkerson II | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2014-04-15 |
| 1174898415 | Estela Amadis Brooke | Surgery | 2400 Canal St, New Orleans, LA 70119-6535 | 2012-03-20 |
| 1396035291 | Michael F. Adinolfi, M.d.,apc | Surgery | 3525 Prytania St, Suite 618, New Orleans, LA 70115-3500 | 2011-04-12 |
| 1619291622 | Amit Chawla | Surgery | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2010-03-19 |
| 1083855050 | Nicolas Zea | Surgery | 1542 Tulane Ave, Room 741, New Orleans, LA 70112-2865 | 2009-03-20 |
| 1265617104 | Frank E Schmidt | Surgery | 1450 Poydras St, New Orleans, LA 70112-6010 | 2008-01-09 |
| 1841488616 | Gary J Danos, Md, L.L.C. | Surgery | 3525 Prytania St, New Orleans, LA 70115-3500 | 2007-10-05 |
| 1659575439 | Taylor Andrew Smith | Surgery | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2007-06-13 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 07012 |
Please comment or provide details below to improve the information on HERNAN ANTONIO BAZAN.
| 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.