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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
012202 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1197386 | 05 |
Street Address |
324 DULLES DR |
City | LAFAYETTE |
State | LA |
Zip Code | 70506-3008 |
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 |
Find all providers in zip 70506 |
Taxonomy Code | 207QG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Geriatric Medicine |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.