EAST JEFFERSON RADIATION ONCOLOGY, LLC (NPI# 1114977402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114977402 |
| Entity Type | Organization |
| Organization Name | EAST JEFFERSON RADIATION ONCOLOGY, LLC |
| Practice Address |
4204 Houma Blvd Metairie LA 70006-2903 |
| Mailing Address |
4204 Houma Blvd Suite 211 Metairie LA 70006-2903 |
| Practice Telephone | 5044541724 |
| Practice Fax Number | 5044554857 |
| Mailing Telephone | 5044541727 |
| Mailing Fax Number | 5044554857 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICKY STONICHER (DEPARTMENT ADMINISTRATOR) |
| Authorized Official Telephone | 5044541724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
4204 HOUMA BLVD |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013980853 | Ashish Udhrain | Internal Medicine | 4204 Houma Blvd, Fl 2, Metairie, LA 70006-2903 | 2006-02-10 |
| 1669862801 | Karen Spencer | Nurse Practitioner | 4204 Houma Blvd, Fl 2, Metairie, LA 70006-2903 | 2015-01-26 |
| 1184902736 | April Minnich Haydel | Nurse Practitioner | 4204 Houma Blvd, Fl 2, Metairie, LA 70006-2903 | 2011-08-01 |
| 1316170780 | Victoria Miller Labruzzo | Nurse Practitioner | 4204 Houma Blvd, Fl 2, Metairie, LA 70006-2903 | 2009-09-01 |
| 1053502732 | Rabia Latif Cattie | Internal Medicine | 4204 Houma Blvd, Fl 2, Metairie, LA 70006-2903 | 2007-08-07 |
| 1619927910 | Jefferson Radiation Oncology, LLC | Radiology | 4204 Houma Blvd, Metairie, LA 70006-2903 | 2006-05-10 |
| 1750346938 | Thomas M Cosgriff | Internal Medicine | 4204 Houma Blvd, Floor 2, Metairie, LA 70006-2903 | 2006-04-19 |
| 1073578787 | Breast Diagnostics, LLC | Clinic/Center | 4204 Houma Blvd, Metairie, LA 70006-2903 | 2006-04-18 |
| 1891763694 | Luis A Linares | Radiology | 4204 Houma Blvd, Suite 211, Metairie, LA 70006-2903 | 2006-03-09 |
| 1184691271 | Paul D Monsour | Radiology | 4204 Houma Blvd, Suite 211, Metairie, LA 70006-2903 | 2006-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154505220 | Siddhartha Padmanabha | Radiology | 4204 Houma Blvd Ste 100, Metairie, LA 70006-2919 | 2007-12-24 |
| 1619927910 | Jefferson Radiation Oncology, LLC | Radiology | 4204 Houma Blvd, Metairie, LA 70006-2903 | 2006-05-10 |
| 1891763694 | Luis A Linares | Radiology | 4204 Houma Blvd, Suite 211, Metairie, LA 70006-2903 | 2006-03-09 |
| 1184691271 | Paul D Monsour | Radiology | 4204 Houma Blvd, Suite 211, Metairie, LA 70006-2903 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489362 | Acadiana Radiation Therapy LLC | Radiology | 525 N Lewis St, New Iberia, LA 70563-2015 | 2014-09-15 |
| 1235557000 | Audrey Dang | Radiology | 232 Southwood Dr, Gretna, LA 70056-7865 | 2014-03-31 |
| 1972931715 | David S Chang LLC | Radiology | 1200 E Mcneese St, Suite B, Lake Charles, LA 70607-4770 | 2013-10-14 |
| 1437442472 | Ross Edward Bland | Radiology | 411 Calypso Street, Monroe, LA 71201 | 2011-05-24 |
| 1477846913 | Edward Mannina | Radiology | 1120 Robert Blvd Ste 100, Slidell, LA 70458 | 2011-05-17 |
| 1730488974 | Jill Nicole Vincent | Radiology | 2000 Canal St Fl 1, New Orleans, LA 70112 | 2011-03-25 |
| 1487974044 | Lafayette Health Ventures Inc | Radiology | 155 Hospital Dr Ste 102, Lafayette, LA 70503-2852 | 2010-06-07 |
| 1760708614 | Rachael E Harmon | Radiology | 3600 Prytania St., Ste. 35, New Orleans, LA 70115-3678 | 2010-04-18 |
| 1235364159 | Carl S Merlin | Radiology | 3 Poydras St, Unit 4f, New Orleans, LA 70130-1657 | 2009-05-20 |
| 1700021961 | Karl Thomas Noell | Radiology | 630 Greenbriar Rd, Lafayette, LA 70503-3408 | 2008-12-02 |
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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.