MEDICAL & SURGICAL CLINIC A MEDICAL (NPI# 1093744146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093744146 |
Entity Type | Organization |
Organization Name | MEDICAL & SURGICAL CLINIC A MEDICAL |
Practice Address |
1003 South Spruce St Vivian LA 71082-3200 |
Practice Telephone | 3183753239 |
Practice Fax Number | 3183752755 |
Mailing Telephone | 3183753239 |
Mailing Fax Number | 3183752755 |
Enumeration Date | 2006-07-01 |
Last Update Date | 2008-02-04 |
Authorized Official Name | PAMELA R. HUGHES (ADMINISTRATOR) |
Authorized Official Telephone | 3183753239 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1942995 | 05 |
Street Address |
1003 SOUTH SPRUCE ST |
City | VIVIAN |
State | LA |
Zip Code | 71082-3200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295207801 | Terrence Quarles | Counselor | 200 West Louisiana Ave, Vivian, LA 71082 | 2018-12-20 |
1083158877 | Lenorris Rainey | Counselor | 301 Edward Drive, Vivian, LA 71082 | 2016-12-13 |
1720213614 | Constance La'shay Hall | Occupational Therapy Assistant | 912 South Pecan St, Vivian Healthcare Center, Vivian, LA 71082 | 2009-05-20 |
1124155411 | North Caddo Medical Center Healthplex | Public Health or Welfare | 102 Industrial Drive, Vivian, LA 71082 | 2007-02-27 |
1023493160 | Catherine Sharpe | Family Medicine | 815 S Pine St, Vivian, LA 71082 | 2015-07-29 |
1699286138 | Natarran C Evans | Counselor | 830 Nw Front St, Vivian, LA 71082-2312 | 2017-10-23 |
1447614532 | Lauretta Montgomery | Counselor | 904 Mississippi Cir, Vivian, LA 71082-2552 | 2016-04-05 |
1194882829 | James R Mccormick | Dentist | 117 N Pine St, Vivian, LA 71082-2743 | 2007-01-02 |
1225542178 | Wright Way Behavioral Health Center | Community/Behavioral Health | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2017-11-29 |
1689200255 | Richida Shepard | Social Worker | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2020-03-16 |
Find all providers in zip 71082 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528097912 | John Harlan Haynes Jr. | Family Medicine | 1003 S Spruce St, Vivian, LA 71082-3200 | 2006-06-30 |
1003310756 | North Caddo Hospital Service District | Family Medicine | 815 S Pine St, Vivian, LA 71082-3353 | 2018-03-19 |
1023493160 | Catherine Sharpe | Family Medicine | 815 S Pine St, Vivian, LA 71082 | 2015-07-29 |
1043535941 | Eiel E Ragsdale | Family Medicine | 1003 S Spruce St, Vivian, LA 71082-3200 | 2010-04-02 |
1003083205 | Walker May | Family Medicine | 1003 S Spruce St, Ncmc Medical and Surgical Clinic, Vivian, LA 71082-3100 | 2008-05-15 |
1013181866 | North Caddo Hospital Service District | Family Medicine | 815 S Pine St, Vivian, LA 71082-3314 | 2008-04-14 |
1740365733 | Jody Dale Chance | Family Medicine | 1003 S Spruce St, Vivian, LA 71082-3200 | 2006-10-26 |
1558393744 | Stephen Glenn Taylor | Family Medicine | 1003 S Spruce St, Vivian, LA 71082-3200 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
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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.