DR. JAGAN DEWAN GUPTA (NPI# 1134388234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134388234 |
| Entity Type | Individual |
| Full Name | DR. JAGAN DEWAN GUPTA |
| Credential | M.D. |
| Practice Address |
1111 Medical Center Blvd Suite N-108 Marrero LA 70072-3151 |
| Mailing Address |
2529 Nashville Ave New Orleans LA 70115-7045 |
| Practice Telephone | 5043491461 |
| Practice Fax Number | 5043491461 |
| Mailing Telephone | 5048133649 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
MD.202042 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1111 MEDICAL CENTER BLVD SUITE N-108 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821400904 | David Michael Theriot | Radiology | 1111 Medical Center Blvd Ste 108, Marrero, LA 70072-3152 | 2014-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861657611 | Mohammad Ali Khan | Radiology | 106 Henry James Ct, Youngsville, LA 70592-5176 | 2008-07-22 |
| 1710203971 | Zachary Jefferson Liner | Radiology | 15790 Paul Vega Md Dr, Radiology Department, Hammond, LA 70403-1434 | 2010-04-13 |
| 1720248743 | Paul M Gulotta | Radiology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2008-06-12 |
| 1235396722 | Mona Yasrebi | Radiology | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2008-05-21 |
| 1790960144 | Blake Eugene Mcgehee | Radiology | 1888 Hudson Cir, Ste 2, Monroe, LA 71201-3546 | 2008-01-04 |
| 1790975019 | Ankit Limba Pansara | Radiology | 1514 Jefferson Hwy, Radiology Department, New Orleans, LA 70121-2429 | 2007-08-01 |
| 1427101914 | Hugh James Francis Robertson | Radiology | 611 Saint Landry St, Lafayette, LA 70506-4627 | 2007-01-19 |
| 1093874422 | Noah Andrew Emerson | Radiology | 1514 Jefferson Hwy, New Orleans, LA 70121 | 2006-12-08 |
| 1275691248 | Christian Edward Morel | Radiology | 5000 Hennessy Blvd, Our Lady of The Lake Rmc Radiology Dept., Baton Rouge, LA 70808-4375 | 2006-12-04 |
| 1972514784 | Michele Marie Lajaunie | Radiology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-08-10 |
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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.