IDEAL ME OF HAMMOND, LLC (NPI# 1114279585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114279585 |
Entity Type | Organization |
Organization Name | IDEAL ME OF HAMMOND, LLC |
Practice Address |
15748 Medical Arts Dr Hammond LA 70403-1446 |
Practice Telephone | 9855420663 |
Practice Fax Number | 9855420698 |
Mailing Telephone | 9855420663 |
Mailing Fax Number | 9855420698 |
Enumeration Date | 2012-10-10 |
Last Update Date | 2012-10-10 |
Authorized Official Name | LEMAR FRANKLIN MARSHALL (CHIEF OPERATIONS OFFICER) |
Authorized Official Telephone | 9855420663 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
001293 | LA | Ambulatory Health Care Facilities |
Street Address |
15748 MEDICAL ARTS DR |
City | HAMMOND |
State | LA |
Zip Code | 70403-1446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861495665 | William Geyman Black | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2005-05-24 |
1366050809 | Marissa Cannon | Nurse Practitioner | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2020-07-21 |
1104223833 | Christina Clark Martin | Dietitian, Registered | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2014-11-24 |
1710239017 | North Oaks Obstetrics & Gynecology | Dietitian, Registered | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-10-10 |
1770858011 | Kimberly Nicole Hodge | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2012-03-20 |
1528229309 | April Austin Sandifer | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2008-06-24 |
1659427417 | Vickie Tessitore Matherne | Advanced Practice Midwife | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2007-01-26 |
1265585467 | Amy Priez Linn | Advanced Practice Midwife | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2007-01-19 |
1659313245 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2006-06-11 |
1104822782 | Dwan Shirmelle Mabry | Obstetrics & Gynecology | 15748 Medical Arts Dr, Hammond, LA 70403-1446 | 2005-06-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
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Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1144637679 | Us Medgroup Pa | Clinic/Center | 6423 Columbia Ave, Hammond, IN 46320-2747 | 2014-07-16 |
1528217569 | Concentra Health Services, Inc. | Clinic/Center | 6423 Columbia Avenue, Hammond, IN 46320 | 2008-09-15 |
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1871124859 | Lafayette Wellness Group | Clinic/Center | 1042 Camellia Blvd Apt 3412, Lafayette, LA 70508-6692 | 2020-01-29 |
1033687439 | Debra Vidrine, Health Care Services,llc | Clinic/Center | 1535 W Main St Ste 100, Ville Platte, LA 70586-2867 | 2018-11-05 |
1922591080 | Aca Clinic | Clinic/Center | 23823 Eden St, Plaquemine, LA 70764-3315 | 2018-06-12 |
1841794989 | West Wellness, LLC | Clinic/Center | 7941 Picardy Ave Ofc 2, Baton Rouge, LA 70809-3536 | 2018-03-22 |
1588195341 | Ann M Waguespack | Clinic/Center | 9736 Kinglet Dr, Baton Rouge, LA 70809-4611 | 2017-03-23 |
1104297720 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-10-08 |
1619355955 | Heavenly Touch Personal Care | Clinic/Center | 235 Olive St, Shreveport, LA 71104-2415 | 2015-05-07 |
1396135331 | Affinity Medical Center | Clinic/Center | 3143 N Roman St, New Orleans, LA 70117-6509 | 2015-01-29 |
1689081218 | Mps Healthcare, LLC | Clinic/Center | 16416 Spanish Ct, Greenwell Springs, LA 70739-5936 | 2014-07-15 |
1578821948 | Dyson & Dyson Inc. | Clinic/Center | 322 Messina St., Abbeville, LA 70510 | 2012-04-24 |
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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.