PURNACHANDRA R YERNENI MD (NPI# 1073777843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073777843 |
| Entity Type | Organization |
| Organization Name | PURNACHANDRA R YERNENI MD |
| Practice Address |
1011 Avenue F Bogalusa LA 70427-4334 |
| Practice Telephone | 9857329930 |
| Practice Fax Number | 9857329884 |
| Mailing Telephone | 9857329930 |
| Mailing Fax Number | 9857329884 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |
| Authorized Official Name | DR. PURNACHANDRA R YERNENI (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9857329930 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
10096R | LA | Ambulatory Health Care Facilities |
| Street Address |
1011 AVENUE F |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861571622 | Purnachandra Rao Yerneni | Internal Medicine | 1011 Avenue F, Bogalusa, LA 70427-4334 | 2006-11-03 |
| 1861635260 | Washington Wound Care LLC | Clinic/Center | 1011 Avenue F, Bogalusa, LA 70427-4334 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932630118 | Children's International, LLC | Clinic/Center | 626 Superior Ave, Bogalusa, LA 70427-2631 | 2017-03-21 |
| 1730218918 | Washington St. Tammany Regional Medical Center | Clinic/Center | 433 Plaza St, Bogalusa, LA 70427-3729 | 2007-03-05 |
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| 1205457645 | Perfect Phyzique Wellness & Body Contouring, LLC | Clinic/Center | 220 Carroll St Ste A, Shreveport, LA 71105-4247 | 2020-04-27 |
| 1104445758 | Jennings American Legion Hospital Inc | Clinic/Center | 1322 Elton Rd Ste F, Jennings, LA 70546-4100 | 2020-04-14 |
| 1346874732 | Southeast Family Medical Practice | Clinic/Center | 1320 N Morrison Blvd Ste 125, Hammond, LA 70401-2242 | 2020-02-25 |
| 1356973077 | Phca Houma LLC | Clinic/Center | 435 Corporate Dr Ste 402, Houma, LA 70360-2498 | 2020-02-11 |
| 1124659164 | Diana L. Corley, Fnp, LLC | Clinic/Center | 1015 Hwy 107, Centerpoint, LA 71323 | 2020-01-29 |
| 1790322717 | Take Care Clinic LLC | Clinic/Center | 6721 Saint Claude Ave Ste B, Arabi, LA 70032-1247 | 2019-12-09 |
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
| 1366926040 | In and Out Urgent Care Covington, LLC | Clinic/Center | 13130 Hwy 1085, Suite 100, Covington, LA 70433-7829 | 2018-09-19 |
| 1588143556 | Pediatric Center of Many LLC | Clinic/Center | 315 S Highland Dr Ste A, Many, LA 71449-3719 | 2018-08-10 |
| Find all providers with the same taxonomy | ||||
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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.