TELERAD OF LA ACCOUNT MANAGEMENT, LLC (NPI# 1164722088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164722088 |
| Entity Type | Organization |
| Organization Name | TELERAD OF LA ACCOUNT MANAGEMENT, LLC |
| Practice Address |
75368 Moonshadow Ln Abita Springs LA 70420-4026 |
| Mailing Address |
13737 Noel Rd Suite 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Mailing Telephone | 9548382371 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
75368 MOONSHADOW LN |
| City | ABITA SPRINGS |
| State | LA |
| Zip Code | 70420-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649597014 | Louisiana Telerad LLC | Radiology | 75368 Moonshadow Ln, Abita Springs, LA 70420-4026 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700630 | Kristin Leonie Mayer Couch | Registered Nurse | 25010 Burvant Street, Abita Springs, LA 70420 | 2020-11-08 |
| 1679174452 | Donna Shartil Golman | Driver | 73350 Birdie Street, Abita Springs, LA 70420 | 2020-11-06 |
| 1528510351 | Simone Delaune Nolan | Counselor | 302 Lei Lani Ave, Abita Springs, LA 70420 | 2016-10-27 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1225243157 | Michael Joseph Petrosky | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2007-05-14 |
| 1477698801 | Steven E Pfingsten | Dentist | 71623 Hickory Street, Abita Springs, LA 70420 | 2007-02-21 |
| 1609879659 | Glenda Carol Breakfell Petroff | Nurse Practitioner | 22070 Highway 59, Abita Springs, LA 70420 | 2005-05-23 |
| 1235464488 | Abita Chiropractic LLC | Chiropractor | 71623 Hickory St., Abita Springs, LA 70420 | 2009-10-06 |
| 1588721179 | Louis P. Nogues, IIi, Dds, A Professional Corp. | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-01-02 |
| 1982807632 | Nicole Suberville Wascom | Dentist | 22464 Highway 435, Abita Springs, LA 70420-2206 | 2007-06-08 |
| Find all providers in zip 70420 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 |
|---|---|---|---|---|
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1649597014 | Louisiana Telerad LLC | Radiology | 75368 Moonshadow Ln, Abita Springs, LA 70420-4026 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726518 | Avail Lc Radiology LLC | Radiology | 3730 Nelson Rd, Lake Charles, LA 70605-2412 | 2018-10-16 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1801393590 | Sterling Spine, LLC | Radiology | 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 | 2018-04-09 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1366977092 | John-paul Grenier | Radiology | 800 Old Metairie Dr, Metairie, LA 70001-6095 | 2017-05-01 |
| 1588023980 | Louisiana Diagnostic and Imaging | Radiology | 5633 Cormier Rd, Vinton, LA 70668-6316 | 2016-02-15 |
| 1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
| 1457790255 | Sulphur Healthcare Partners | Radiology | 3649 S Beglis Pkwy, Sulphur, LA 70665-8107 | 2013-06-14 |
| 1013250703 | Paul Jude Sibille | Radiology | 1240 Highway 761, Church Point, LA 70525-7527 | 2013-04-01 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
| City | ABITA SPRINGS |
| Zip Code | 70420 |
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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.