CHILDRENS MEDICAL CLINIC INC (NPI# 1225161706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225161706 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL CLINIC INC |
| Practice Address |
515 Westbank Expy Suite 1 Gretna LA 70053-5644 |
| Practice Telephone | 5043687337 |
| Practice Fax Number | 5043687376 |
| Mailing Telephone | 5043687337 |
| Mailing Fax Number | 5043687376 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROSELYN M STETIENNE (OWNER) |
| Authorized Official Telephone | 5043687337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
12769R | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1446319 | 05 |
| Street Address |
515 WESTBANK EXPY SUITE 1 |
| City | GRETNA |
| State | LA |
| Zip Code | 70053-5644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124094586 | Henry L Rosenberg | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| 1932498185 | Ilsa Leon | Obstetrics & Gynecology | 515 Westbank Expy, Gretna, LA 70053-5644 | 2011-03-28 |
| 1063602506 | Jennifer L. Bigelow | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2007-07-31 |
| 1215946025 | Newco, Women's Medical Center | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-08-08 |
| 1962436352 | Jeanne Gasquet Hutchinson | Obstetrics & Gynecology | 515 Westbank Expy, Expressway, Gretna, LA 70053-5644 | 2006-07-10 |
| 1821042607 | Stacey Bradford Clasen | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-05-19 |
| 1740256106 | Elizabeth N Blanton | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| 1245206614 | Carlos A Sirven | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| 1043286347 | Sergio F Castillo | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917247 | Lindsey Boler | Case Manager/Care Coordinator | Maxima Group Behavioral Services, 405 Gretna Blvd, LA 70053 | 2020-09-22 |
| 1184254658 | Denni Turner | Counselor | 2100 Belle Chasse Hwy., Gretna, LA 70053 | 2020-01-23 |
| 1871068478 | Nhi Cam Tran | Pharmacist | 629 Derbigny St, Gretna, LA 70053 | 2018-10-10 |
| 1639655574 | Rachel Lynn White | Massage Therapist | 2120 Belle Chase Hwy, Gretna, LA 70053 | 2018-07-13 |
| 1982193165 | Quality Care Home Care LLC | In Home Supportive Care | 310 Huey P Long Ave Ste 109, Gretna, LA 70053 | 2018-05-03 |
| 1073021663 | Nola Psychotherapy Center | Counselor | 405 Gretna Boulevard, Suite 200, Gretna, LA 70053 | 2018-01-17 |
| 1396256707 | Quality Independent Case Management, LLC | Case Management | 1530 Huey P Long Ave, Gretna, LA 70053 | 2017-10-12 |
| 1790223444 | Tekira Fox | Case Manager/Care Coordinator | 1500 Lafayette St. Ste 140, Gretna, LA 70053 | 2017-02-02 |
| 1710359542 | Joshua Washington | Counselor | 2100 Belle Chasse Highway, Gretna, LA 70053 | 2015-10-20 |
| 1174877328 | Audra Javaise Tousaint | Counselor | 405 Gretna Blvd Ste 200, Gretna, LA 70053 | 2012-11-08 |
| Find all providers in zip 70053 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1376074252 | Children's International, LLC | Clinic/Center | 120 Meadowcrest St., Ste 470, Gretna, LA 70785 | 2017-03-23 |
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| 1790322717 | Take Care Clinic LLC | Clinic/Center | 6721 Saint Claude Ave Ste B, Arabi, LA 70032-1247 | 2019-12-09 |
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1992367791 | Family First Medical & Wellness Clinic, LLC | Clinic/Center | 300 Clay St, Kenner, LA 70062 | 2019-07-01 |
| 1366926040 | In and Out Urgent Care Covington, LLC | Clinic/Center | 13130 Hwy 1085, Suite 100, Covington, LA 70433-7829 | 2018-09-19 |
| 1588143556 | Pediatric Center of Many LLC | Clinic/Center | 315 S Highland Dr Ste A, Many, LA 71449-3719 | 2018-08-10 |
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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.