L GLEN MIRE MD INC


Address: 324 Dulles Dr, Lafayette, LA 70506-3008
Phone: 3379810305

L GLEN MIRE MD INC (NPI# 1134328966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134328966
Entity Type Organization
Organization Name L GLEN MIRE MD INC
Practice Address 324 Dulles Dr
Lafayette
LA 70506-3008
Mailing Address Po Box 61950
Lafayette
LA 70596-1950
Practice Telephone 3379810305
Mailing Telephone 3379810305
Enumeration Date 2007-07-12
Last Update Date 2008-05-21
Authorized Official Name DR. LOUIS GLEN MIRE (OWNER)
Authorized Official Telephone 3379810305
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
012202 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1197386 05

Office Location

Street Address 324 DULLES DR
City LAFAYETTE
State LA
Zip Code 70506-3008

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417421447 Maranda Washington Student in an Organized Health Care Education/Training Program 202 Reinhardt Drive, Lafayette, LA 70506 2019-01-12
1447742473 Glenda Gravouilla Poulan Driver 330 Guilbeau Rd, Lafayette, LA 70506 2018-06-05
1194215905 Angelica Plumbar Case Manager/Care Coordinator 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 2018-05-16
1801394820 Acadiana Ambulatory Health Care Services Non-Pharmacy Dispensing Site 207 Westmark Blvd., Lafayette, LA 70506 2018-01-24
1578070041 Kimberly Lois Robinson Counselor 203 Pinto St, Lafayette, LA 70506 2018-01-05
1558890814 Shanece Marie Solomon Speech-Language Pathologist 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 2017-06-08
1225565625 Keena Lewis Case Manager/Care Coordinator 121 Kohen Luke Dr, Lafayette, LA 70506 2017-05-16
1326571498 Natasha Deville Community/Behavioral Health 1408 W Willow St 162, Lafayette, LA 70506 2017-04-06
1952846826 Mia D Arthur Behavioral Analyst 511 Monarch Dr, Lafayette, LA 70506 2016-12-30
1265983340 Eric Prince Specialist/Technologist 202 Reinhardt Dr., Lafayette, LA 70506 2016-10-24
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326078395 Mary Marelle Yongue Family Medicine University of Louisiana Lafayette Student Health Serv, 120 Boucher Dr., Lafayette, LA 70504-0001 2006-07-04
1588014864 Acadiana Long Term Care LLC Family Medicine 202 Westgate Rd, Lafayette, LA 70506-2711 2016-06-16
1366468084 Louis Glen Mire Family Medicine 2390 W Congress St, Lafayette, LA 70506-4205 2006-07-14
1811985070 John Camp Shepherd Family Medicine 2000 W South Boulder Rd, Lafayette, CO 80026-1389 2005-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285070995 Gerald Lee Foret Family Medicine 43011 Victory Dr, Franklinton, LA 70438-5129 2013-05-21
1164770897 Choice Medical Care LLC Family Medicine 8068 Goodwood Boulevard, Baton Rouge, LA 70806-7631 2012-08-28
1164734844 Louisiana Dysphagia Consultants, L.L.C. Family Medicine 233 Summer Ridge Loop, Sunset, LA 70584-5057 2010-07-09
1407883820 Samuel K Abshire Family Medicine 926 Frances Dr, Haynesville, LA 71038-6100 2006-06-28
1871105593 Amy Lou Devine Family Medicine 519 Metairie Rd, Metairie, LA 70005-4311 2020-08-24
1245626910 Latrice Roberts Family Medicine 256 Highway 3048, Rayville, LA 71269-3624 2015-04-09
1578983029 Mariam J Ahmed Family Medicine 200 W Esplanade Ave, Suite # 412, Kenner, LA 70065-2489 2014-04-23
1457618019 Lobna Hussain Ali Family Medicine 1542 Tulane Ave, Room 442, New Orleans, LA 70112 2012-04-19
1578820619 Jay St. John Family Medicine 3525 Prytania St Ste 526, New Orleans, LA 70115 2012-04-13
1467753905 Safford Health Care LLC Family Medicine 3851 S Sherwood Forest Blvd, Ste 360, Baton Rouge, LA 70816-4361 2010-11-16
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Competitor

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City LAFAYETTE
Zip Code 70506

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Dataset Information

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.

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