JENNIFER R. MCCANN, M.D., LLC (NPI# 1134357064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134357064 |
| Entity Type | Organization |
| Organization Name | JENNIFER R. MCCANN, M.D., LLC |
| Practice Address |
206 W 5th St Deridder LA 70634-4856 |
| Practice Telephone | 3374635582 |
| Practice Fax Number | 3374601348 |
| Mailing Telephone | 3374635582 |
| Mailing Fax Number | 3374601348 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Authorized Official Name | MRS. KAREN COOPER (INSURANCE) |
| Authorized Official Telephone | 3374635582 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 201272 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1093271 | 05 |
| Street Address |
206 W 5TH ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388856 | James R Rudd Sr. | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2005-07-05 |
| 1043836018 | Sharolyn Rose Chitty | Nurse Practitioner | 206 W 5th St, Deridder, LA 70634-4856 | 2020-06-24 |
| 1619342227 | Hospital Service District No 2 of Parish of Beauregard State of La | Clinic/Center | 206 W 5th St, Deridder, LA 70634-4856 | 2015-12-08 |
| 1306272281 | Claire Joubert | Nurse Practitioner | 206 W 5th St, Deridder, LA 70634-4856 | 2013-09-23 |
| 1972809655 | David L. Jones, Md, LLC | Clinic/Center | 206 W 5th St, Deridder, LA 70634-4856 | 2011-01-28 |
| 1114223898 | James R. Rudd Sr., M.d., LLC | Clinic/Center | 206 W 5th St, Deridder, LA 70634-4856 | 2011-01-28 |
| 1083816854 | Jennifer R Mccann | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2007-06-04 |
| 1922218429 | James Robert Rudd Jr. | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2007-05-23 |
| 1942346861 | Women's Clinic of Southwest La. | Specialist | 206 W 5th St, Deridder, LA 70634-4856 | 2007-01-29 |
| 1114924826 | David L Jones | Obstetrics & Gynecology | 206 W 5th St, Deridder, LA 70634-4856 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497821367 | Dan E Butler | Specialist | 1612 N Pine St, Deridder, LA 70634-2420 | 2006-11-24 |
| 1295792596 | Ernesto A Kufoy | Specialist | 311 S Pine St, Deridder, LA 70634-4837 | 2006-04-28 |
| 1134677297 | Teresa Hunter | Specialist | 109 S Washington St, Deridder, LA 70634-4061 | 2016-09-19 |
| 1881015345 | Beauregard Hematology & Oncology | Specialist | 301 S Washington St, Suite B, Deridder, LA 70634-4861 | 2013-12-30 |
| 1225297658 | David J. Brown, M.d. Apmc | Specialist | 302 W 6th St, Deridder, LA 70634-4902 | 2008-06-02 |
| 1598958746 | Chuen K Kwok Ms Apmc | Specialist | 316 W 7th St, Deridder, LA 70634-4914 | 2007-08-21 |
| 1942346861 | Women's Clinic of Southwest La. | Specialist | 206 W 5th St, Deridder, LA 70634-4856 | 2007-01-29 |
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|---|---|---|---|---|
| 1568088417 | Shanteau Sylvester | Specialist | 100 Handy Hill Rd, Mer Rouge, LA 71261-6900 | 2020-06-16 |
| 1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
| 1194363317 | Dorothy Morton | Specialist | 2720 Cedarlawn Dr, Marrero, LA 70072-5414 | 2019-12-18 |
| 1083251086 | Total Medical Billing and Healthcare Services LLC | Specialist | 5836 S Oak Dr, Marrero, LA 70072-5257 | 2019-12-09 |
| 1942863337 | Big Easy Podiatry LLC | Specialist | 3600 Prytania St Ste 75, New Orleans, LA 70115-3674 | 2019-04-21 |
| 1801369855 | Juequita Lashawn Wicker | Specialist | 3180 Convention St Ste B, Baton Rouge, LA 70806-3711 | 2019-01-02 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1710480736 | Schnell Surgical Services LLC. | Specialist | 3117 Saint Rene St, Metairie, LA 70001-4137 | 2018-03-15 |
| 1841707031 | Jonnika D Allen | Specialist | 3868 Irwin Kuntz Dr, Harvey, LA 70058-2129 | 2018-01-09 |
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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.