THOMAS CLAY CROUCH (NPI# 1073889853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073889853 |
| Entity Type | Individual |
| Full Name | THOMAS CLAY CROUCH |
| Practice Address |
1057 Paul Maillard Rd Luling LA 70070-4349 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 9857856242 |
| Practice Fax Number | 9857855688 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 300573 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00978571 | 05 | |
| LA | 2300105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033174461 | Thomas T Crouch | Internal Medicine | 4320 Wornall Rd, Ste 208, Kansas City, MO 64111-3255 | 2006-04-19 |
| Street Address |
1057 PAUL MAILLARD RD |
| City | LULING |
| State | LA |
| Zip Code | 70070-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716637 | Hospital Service Dist. No. 1 of The Parish of St. Charles, State of La | Psychiatric Unit | 1057 Paul Maillard Rd, Luling, LA 70070 | 2005-11-11 |
| 1447728019 | Casey A Rahaley | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2018-11-13 |
| 1316481021 | Southern Kidney Specialists, LLC | Internal Medicine | 1057 Paul Maillard Rd, Suite 210, Luling, LA 70070-4349 | 2016-12-14 |
| 1942657192 | Jessica L Adams | Registered Nurse | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-05-18 |
| 1972957116 | Y'annika Anjane' Edwards | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-13 |
| 1619331089 | Asfiya Yunus | Family Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-11 |
| 1750767927 | Mindy Gaubert Hymel | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1447636626 | Nathaly Carrion | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1528446101 | Luling Emergency Group LLC | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-05-14 |
| 1033506027 | Amber Lewis | Nurse Practitioner | 1057 Paul Maillard Rd, Ste. D-1900, Luling, LA 70070-4349 | 2015-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437475522 | Justin Paul Meunier | Emergency Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2010-04-14 |
| 1811139454 | Nina Joelle Breakstone | Emergency Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2009-03-27 |
| 1679656334 | Jill Spital | Emergency Medicine | 130 Hays St, Luling, TX 78648-3207 | 2006-10-23 |
| 1235169947 | Brent Michael Giuffre | Emergency Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2006-07-05 |
| 1699715250 | Michael David Smith | Emergency Medicine | 1057 Paul Maillard Road, Luling, LA 70070-4349 | 2006-06-08 |
| 1144269226 | Martin E Weiner | Emergency Medicine | 130 Hays St, Luling, TX 78648-3207 | 2006-06-05 |
| 1528006459 | Luling Emergency Physicians Pa | Emergency Medicine | 130 Hays St, Luling, TX 78648-3207 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1164956827 | Occucare International Lafayette | Emergency Medicine | 1028 Forum Dr, Broussard, LA 70518-8060 | 2017-04-19 |
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
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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.