CHILDRENS CLINIC LLC (NPI# 1225193501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225193501 |
| Entity Type | Organization |
| Organization Name | CHILDRENS CLINIC LLC |
| Practice Address |
5037 Veterans Blvd Suite 2e Metairie LA 70006 |
| Practice Telephone | 5048872616 |
| Practice Fax Number | 5048872652 |
| Mailing Telephone | 5048872616 |
| Mailing Fax Number | 5048872652 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MUHAMMAD SHUJA (PART OWNER) |
| Authorized Official Telephone | 5048872616 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445924 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689739971 | Childrens Clinic LLC | Pediatrics | 3 Storehouse Lane, Suite B, Destrehan, LA 70047 | 2006-12-27 |
| 1538686613 | Childrens Clinic LLC | Pediatrics | 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263-5790 | 2017-08-29 |
| Street Address |
5037 VETERANS BLVD SUITE 2E |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447472907 | Anthony J Tridico | Dentist | 5037 Veterans Blvd, Suite 2b, Metairie, LA 70006 | 2007-05-03 |
| 1831255223 | Lisa Wyatt | Dentist | 5037 Veterans Blvd, Suite 3e, Metairie, LA 70006 | 2006-12-29 |
| 1912083262 | Edattukaran K Stanley | Pediatrics | 5037 Veterans Blvd, Suite 2e, Metairie, LA 70006 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164819686 | Nicole Sheldon | Pediatrics | 4740 S I 10 Service Rd W Ste 200, Metairie, LA 70001-1244 | 2015-04-22 |
| 1346636669 | Brandi Ducote Naccari | Pediatrics | 3100 Kingman St Ste 110, Metairie, LA 70006 | 2015-04-13 |
| 1003202581 | Stephanie Michele Graebert | Pediatrics | 4224 Houma Blvd Ste 240, Metairie, LA 70006-2935 | 2015-04-10 |
| 1821402694 | Mary Mcdonagh Burke | Pediatrics | 42 Tokalon Pl, Metairie, LA 70001-3020 | 2014-06-19 |
| 1144595455 | Anthony Charles Hudson | Pediatrics | 4740 S I 10 Service Rd W Fl 2, Metairie, LA 70001-1234 | 2012-03-20 |
| 1194024083 | Lauren Malus Hernandez | Pediatrics | 1041 Veterans Memorial Blvd Ste 300, Metairie, LA 70005-2848 | 2011-03-18 |
| 1871740647 | Shalini Gilotra Mallik | Pediatrics | 5220 Cleveland Pl, Metairie, LA 70003-1024 | 2008-08-25 |
| 1053597799 | Jean Ann Tolmas | Pediatrics | 2043 Metairie Rd, Metairie, LA 70005 | 2008-01-11 |
| 1164551909 | Heather Cross Porche | Pediatrics | 2017 Metairie Rd, Metairie, LA 70005-3832 | 2007-03-05 |
| 1912048166 | Delia Morgan | Pediatrics | 4720 I 10 Service Road West, Metairie, LA 70001 | 2007-02-09 |
| Find all providers in METAIRIE | ||||
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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.