ROBERT D BOSTICK JR. (NPI# 1235130386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235130386 |
| Entity Type | Individual |
| Full Name | ROBERT D BOSTICK JR. |
| Credential | M.D. |
| Practice Address |
107 Maryland Drive Luling LA 70070 |
| Practice Telephone | 5043496411 |
| Practice Fax Number | 5043496415 |
| Mailing Telephone | 5043496411 |
| Mailing Fax Number | 5043496415 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
010641 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1118796 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518916915 | Robert Douglas Bostick IIi | Orthopaedic Surgery | 3001 Division St Ste 204, Metairie, LA 70002 | 2006-05-10 |
| Street Address |
107 MARYLAND DRIVE |
| City | LULING |
| State | LA |
| Zip Code | 70070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659781664 | Brandi Duffourc Porche | Nurse Practitioner | 107 Maryland Drive, Luling, LA 70070 | 2014-04-29 |
| 1902892342 | Patrick S. Stumpf | Internal Medicine | 107 Maryland Drive, Luling, LA 70070 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| 1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
| 1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
| 1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
| 1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
| 1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
| 1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
| 1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
| 1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
| 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.