BLAINE EDWARD LAVERGNE (NPI# 1184657496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184657496 |
| Entity Type | Individual |
| Full Name | BLAINE EDWARD LAVERGNE |
| Credential | M.D. |
| Practice Address |
510 Cottonwood St Bunkie LA 71322 |
| Mailing Address |
Po Box 380 Bunkie LA 71322-0380 |
| Practice Telephone | 3183463338 |
| Mailing Telephone | 3183466681 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.021983 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
510 COTTONWOOD ST |
| City | BUNKIE |
| State | LA |
| Zip Code | 71322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945642 | Sarah Ann Hillman | Physical Therapist | 427 Evergreen Street, Bunkie, LA 71322 | 2020-02-24 |
| 1477054005 | Michelle Ciudadano | Case Manager/Care Coordinator | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2018-02-28 |
| 1003332198 | Chelsea Garin | Counselor | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2017-08-21 |
| 1457876872 | Tayressha Joy Harmason | Community/Behavioral Health | 1140 Shirley Road, Bunkie, LA 71322 | 2017-08-07 |
| 1942731294 | Adranell Christmas | Non-emergency Medical Transport (VAN) | 303 Martin Luther King Dr, Bunkie, LA 71322 | 2017-03-27 |
| 1477916252 | Bertha Wilson | Counselor | 313 James Street, Bunkie, LA 71322 | 2016-03-30 |
| 1831516087 | Casey Ann Kendall | Pharmacist | 109 Chevy Lane Suite B, Bunkie, LA 71322 | 2014-03-26 |
| 1952642407 | Stephanie L Simmons | Registered Nurse | 1536 Bordelon Rd, Bunkie, LA 71322 | 2013-03-08 |
| 1689861908 | Assisted Living Concepts Inc | Assisted Living Facility | 650 Pershing Avenue, Bunkle, LA 71322 | 2007-10-01 |
| 1932282126 | Pulmonary Services Inc | Durable Medical Equipment & Medical Supplies | 746 Nw Main, #9, Bunkie, LA 71322 | 2006-10-23 |
| Find all providers in zip 71322 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558414722 | Donald Elliott Hines | Family Medicine | 109 N Lexington Ave, Bunkie, LA 71322-1619 | 2007-01-19 |
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| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
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| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| 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.