VINCENT D. MALLORY MD., LLC (NPI# 1215201215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215201215 |
| Entity Type | Organization |
| Organization Name | VINCENT D. MALLORY MD., LLC |
| Practice Address |
3311 Prescott Rd Suite 316 Alexandria LA 71301-3900 |
| Practice Telephone | 3184871717 |
| Practice Fax Number | 3184871170 |
| Mailing Telephone | 3184871717 |
| Mailing Fax Number | 3184871170 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |
| Authorized Official Name | CONSTANCE FISHER MALLORY (OFFICE MANGER) |
| Authorized Official Telephone | 3184871717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1574520 | 05 | |
| LA | NPI-INDIVIDUAL | 1215918503 | 01 |
| Street Address |
3311 PRESCOTT RD SUITE 316 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232479 | Maan Younes | Internal Medicine | 3311 Prescott Rd, Ste 318, Alexandria, LA 71301-3984 | 2005-06-01 |
| 1124575253 | Hailey Weeks | Physician Assistant | 3311 Prescott Rd, Suite201, Alexandria, LA 71301-3900 | 2016-09-07 |
| 1619343548 | Courtney Allen | Physician Assistant | 3311 Prescott Rd, Suite 411, Alexandria, LA 71301-3900 | 2015-08-14 |
| 1245506617 | Sharhonda Alicia Biley | Obstetrics & Gynecology | 3311 Prescott Rd, Ste 410, Alexandria, LA 71301-3900 | 2012-03-29 |
| 1548541386 | Alaina Christine Chicola | Nurse Practitioner | 3311 Prescott Rd, Suite 410, Alexandria, LA 71301-3900 | 2011-09-07 |
| 1487932406 | Interventional Pain of Cenla, LLC | Clinic/Center | 3311 Prescott Rd, Suite 311, Alexandria, LA 71301-3900 | 2011-07-25 |
| 1063710093 | Beckie Leigh Vincent | Nurse Practitioner | 3311 Prescott Rd, Suite 417, Alexandria, LA 71301-3900 | 2011-02-28 |
| 1255643383 | Central Louisiana Anesthesia and Pain Management Centre Apmc | Specialist | 3311 Prescott Rd, Suite 415, Alexandria, LA 71301-3900 | 2010-07-06 |
| 1902136328 | Alexandria Gastrointestinal Specialists, LLC | Internal Medicine | 3311 Prescott Rd, Suite 411, Alexandria, LA 71301-3900 | 2010-01-07 |
| 1457516742 | Muhammad A Tauseef | Pediatrics | 3311 Prescott Rd, Suite 410, Alexandria, LA 71301-3900 | 2008-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740703339 | Neopath | Clinic/Center | 119 30th Ave W Ste 119, Alexandria, MN 56308-3433 | 2017-07-25 |
| 1114471117 | Alexandria Industries Family Health & Wellness Clinic | Clinic/Center | 690 Voyager Dr, Suite 8, Alexandria, MN 56308-5295 | 2016-08-08 |
| 1336542042 | Franconia Pediatrics Associates | Clinic/Center | 6078 Franconia Road Ste A/b, Alexandria, VA 22310 | 2014-10-08 |
| 1184052789 | Central La. Family Health and Wellness Center | Clinic/Center | 3516 North Blvd, Suite A, Alexandria, LA 71301-3613 | 2013-10-17 |
| 1972773430 | Tender Heart Pediatrics | Clinic/Center | 2616 Sherwood Hall Ln Ste 402, Alexandria, VA 22306-3154 | 2008-03-11 |
| 1386719524 | Hispanic American Pediatric Associates | Clinic/Center | 5130 Duke Street, Suite 7, Alexandria, VA 22304-7207 | 2006-11-22 |
| 1194198713 | Be Well Medical Group | Clinic/Center | 108 S Columbus St, Suite 201, Alexandria, VA 22314-3064 | 2015-11-04 |
| 1710356522 | Mary's Center | Clinic/Center | 3110 Mount Vernon Ave, Apt. 514, Alexandria, VA 22305-2664 | 2015-09-22 |
| 1396130738 | Bismilah Medical LLC | Clinic/Center | 5501 Cherokee Ave, Suite 205, Alexandria, VA 22312-2305 | 2015-04-02 |
| 1740686377 | Quad/med, LLC | Clinic/Center | 112 S Harrison St, Alexandria, IN 46001-2067 | 2014-11-10 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on VINCENT D. MALLORY MD., LLC.
| 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.