MINDEN INTERNAL MEDICINE & PEDIATRICS, LLC (NPI# 1154300275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154300275 |
| Entity Type | Organization |
| Organization Name | MINDEN INTERNAL MEDICINE & PEDIATRICS, LLC |
| Practice Address |
101 Office Park Dr Minden LA 71055-3088 |
| Practice Telephone | 3183772979 |
| Practice Fax Number | 3183772596 |
| Mailing Telephone | 3183772979 |
| Mailing Fax Number | 3183772596 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. KELLY M CARLISLE (OWNER) |
| Authorized Official Telephone | 3183772979 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | LA | Allopathic & Osteopathic Physicians |
| Street Address |
101 OFFICE PARK DR |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-3088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700033511 | Neerja Gulati | Internal Medicine | 101 Office Park Dr, Minden, LA 71055-3088 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588842405 | Mark T. Brune, Md Chartered | Internal Medicine | 1701 County Rd Ste H, Minden, NV 89423-4465 | 2008-02-01 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1497710792 | Andrea Natalie Blake-mcmahon | Internal Medicine | 129 Minden Shopping Dr, Minden, LA 71055-2770 | 2006-04-19 |
| 1912971391 | Sue Onken Sanchez | Internal Medicine | 1661 Lucerne St, Minden, NV 89423-4381 | 2006-02-14 |
| 1407470800 | Sanchez Adult Medical Care | Internal Medicine | 1661 Lucerne St, Minden, NV 89423-4381 | 2020-06-01 |
| 1962720201 | Minden Physician Practices LLC | Internal Medicine | 101 Murrell St, Suite 2, Minden, LA 71055-3410 | 2010-05-11 |
| 1700033511 | Neerja Gulati | Internal Medicine | 101 Office Park Dr, Minden, LA 71055-3088 | 2008-08-22 |
| 1659459873 | Steven M Brown | Internal Medicine | 1667 Lucerne St, Ste. A, Minden, NV 89423-4372 | 2006-11-02 |
| 1093723140 | Mark Thomas Brune | Internal Medicine | 925 Ironwood Dr, Suite 2101, Minden, NV 89423-5178 | 2006-08-04 |
| 1538175674 | Joseph Finnegan | Internal Medicine | 925 Ironwood Dr, #2102, Minden, NV 89423-5178 | 2006-07-31 |
| Find all providers in MINDEN | ||||
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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.