HEALTHSTAT ONSITE CLINIC MOSAIC FAUSTINA (NPI# 1093105025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093105025 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ONSITE CLINIC MOSAIC FAUSTINA |
| Practice Address |
9959 Highway 18 Saint James LA 70086-7652 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
9959 HIGHWAY 18 |
| City | SAINT JAMES |
| State | LA |
| Zip Code | 70086-7652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477080133 | Ronnie Charles | Case Manager/Care Coordinator | 5229 W. Arbeed Drive, St. James, LA 70086 | 2017-05-12 |
| 1811449986 | Tiffany Batiste | Student in an Organized Health Care Education/Training Program | 5154 Barras St, Saint James, LA 70086-7113 | 2016-10-25 |
| 1457759607 | Brandon Leblanc | Specialist/Technologist | 5181 Wildcat St, Saint James, LA 70086-7253 | 2014-12-19 |
| 1811194004 | Felicia Whittington | Home Health | 8104 Wood St, Saint James, LA 70086-7465 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170971 | Avery C Lough | Counselor | 627 E Springfield St, Saint James, MO 65559-1655 | 2020-10-08 |
| 1376157644 | Kristin Keppler | Case Management | 221 Olga St, Saint James, MO 65559-1819 | 2020-09-03 |
| 1518570662 | Emily Sawyer | Physician Assistant | 23 Overton Pass, Saint James, NY 11780-1323 | 2020-08-28 |
| 1619580149 | Christine Caulfield | Registered Nurse | 4 Denise Ct, Saint James, NY 11780-1605 | 2020-08-25 |
| 1386256451 | Alessandra Marie Stubbs | Acupuncturist | 65 Vanderbilt Ave, Saint James, NY 11780-1751 | 2020-08-20 |
| 1518578780 | Lisa Marie Sammarco | Nurse Practitioner | 51 Arlington Ave, Saint James, NY 11780-2818 | 2020-08-12 |
| 1649892563 | Matthew Philip Whalen | Student in an Organized Health Care Education/Training Program | 188 4th St, Saint James, NY 11780-2304 | 2020-05-13 |
| 1598391039 | Paige Palazzolo | Social Worker | 265 5th St, Saint James, NY 11780-2430 | 2020-03-17 |
| 1750921250 | Marjorie Ploeger | Pharmacist | 1105 13th Ave South, Saint James, MN 56081 | 2020-01-13 |
| 1770121766 | John Rutigliano | Health Educator | 4 Oshea Ln, Saint James, NY 11780-2956 | 2019-12-20 |
| Find all providers in SAINT JAMES | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639552334 | Preventive Compliance Solutions, LLC | Preventive Medicine | 1012 Petroleum Pkwy, Broussard, LA 70518-8020 | 2015-06-30 |
| 1679963599 | Healthstat Onsite Clinic Mosaic Uncle Sam | Preventive Medicine | 7250 La 44, Convent, LA 70723-2418 | 2015-01-30 |
| 1588966519 | Eric Taylor Baumgartner | Preventive Medicine | 75166 Woodland Rd, Abita Springs, LA 70420-2958 | 2010-11-24 |
| 1821185380 | Laurence Durante | Preventive Medicine | 350 Jefferson Heights Ave, New Orleans, LA 70121-3224 | 2006-10-06 |
| 1891124160 | Healthstat On-site Clinic/ebrso | Preventive Medicine | 2891 Rosenwald Rd, Baton Rouge, LA 70807-4451 | 2013-11-06 |
| 1881735595 | Frank J Baniewicz Jr. | Preventive Medicine | 2501 W Pinhook Rd, Lafayette, LA 70508-3346 | 2007-02-08 |
| 1558455519 | Douglas A Swift | Preventive Medicine | 3601 Houma Blvd, Suite 203, Metairie, LA 70006-4326 | 2006-10-03 |
| City | SAINT JAMES |
| Zip Code | 70086 |
Please comment or provide details below to improve the information on HEALTHSTAT ONSITE CLINIC MOSAIC FAUSTINA.
| 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.