PROFESSIONAL RADIOLOGY SERVICES LLC (NPI# 1114117850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114117850 |
Entity Type | Organization |
Organization Name | PROFESSIONAL RADIOLOGY SERVICES LLC |
Practice Address |
100 Medical Center Dr Slidell LA 70461-5520 |
Mailing Address |
Po Box 15929 Baton Rouge LA 70895-5929 |
Practice Telephone | 8002561152 |
Practice Fax Number | 2259307524 |
Mailing Telephone | 8002561152 |
Mailing Fax Number | 2259307524 |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-07-30 |
Authorized Official Name | DR. DAVID J DONALDSON (MANAGING PARTNER) |
Authorized Official Telephone | 8002561152 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
100 MEDICAL CENTER DR |
City | SLIDELL |
State | LA |
Zip Code | 70461-5520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417586587 | Ochsner Clinic LLC | Internal Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2020-04-02 |
1972143337 | Gianna Marie Redmond | Dietitian, Registered | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2020-01-13 |
1740821933 | Shelby Bateman | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2019-09-30 |
1336701069 | Tori Ann Daigrepont | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461 | 2019-07-02 |
1982199295 | Renee Wales Morgan | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2018-06-28 |
1508216144 | Jessica Moran Suit | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2016-06-14 |
1346625175 | Jessica Koon | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-07-22 |
1225419211 | Brant P Domangue | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-06-15 |
1447630041 | Siddartha Bhandary | Internal Medicine | 100 Medical Center Dr, Slidell, LA 70461 | 2015-06-09 |
1114305232 | Xinyu Wu | Pathology | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
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Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942206487 | Delta Diagnostics LLC | Radiology | 989 Robert Blvd., Slidell, LA 70458-2009 | 2005-06-21 |
1881699809 | Jaime Santiago Tuazon | Radiology | 989 Robert Blvd, Slidell, LA 70458-2009 | 2005-06-16 |
1013912278 | Arthur Jerry Satterlee | Radiology | 1310 Gause Blvd, Slidell, LA 70458-3016 | 2005-06-15 |
1083619241 | Thompson Mack Dietz Iv | Radiology | 1495 Gause Blvd, Slidell, LA 70458-2205 | 2005-06-15 |
1215252341 | William Alexander Shaffer | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2010-03-31 |
1700027786 | Charles Barrett Smith | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2009-03-20 |
1841490422 | Myles Christopher Digby | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2007-07-20 |
1992904627 | Jeff S Redmond | Radiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2007-07-12 |
1962502591 | David Joseph Donaldson Jr. | Radiology | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2006-09-24 |
1508964990 | Laurie Ann Bishop | Radiology | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2006-09-20 |
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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.