CHRISTIAN ANTONIO MAYORGA (NPI# 1235298050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235298050 |
| Entity Type | Individual |
| Full Name | CHRISTIAN ANTONIO MAYORGA |
| Credential | M.D. |
| Practice Address |
4228 Williams Blvd Suite 201 Kenner LA 70065-2270 |
| Practice Telephone | 5043050063 |
| Practice Fax Number | 5043052366 |
| Mailing Telephone | 5043050063 |
| Mailing Fax Number | 5043052366 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2009-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11181R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1662101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174718431 | Christian Antonio Mayorga Jr. | Internal Medicine | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2007-09-10 |
| Street Address |
4228 WILLIAMS BLVD SUITE 201 |
| City | KENNER |
| State | LA |
| Zip Code | 70065-2270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059450 | Elisa G Klainer | Internal Medicine | 4228 Williams Blvd, Ste 203, Kenner, LA 70065-2270 | 2005-08-01 |
| 1205160181 | Christian A. Mayorga, Md LLC | Clinic/Center | 4228 Williams Blvd, Ste 201, Kenner, LA 70065-2270 | 2009-09-25 |
| 1174701460 | Dr Victoria Angela Mcghee Smith, Md, Apmc | Family Medicine | 4228 Williams Blvd, Suite 203, Kenner, LA 70065-2270 | 2008-02-08 |
| 1831222488 | Robert Benjamin Coffman | Dentist | 4228 Williams Blvd, 208, Kenner, LA 70065-2270 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| 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 |
|---|---|---|---|---|
| 1861784183 | Huong Nguyen | Family Medicine | 1308 Williams Blvd, Kenner, LA 70062-6508 | 2011-05-04 |
| 1912214743 | Neuropathy Pain Centers of Kenner, LLC | Family Medicine | 1919 Veterans Memorial Blvd Ste 102, Kenner, LA 70062-4003 | 2010-08-31 |
| 1225264187 | Alana Anthony | Family Medicine | 3715 Williams Blvd Ste 220, Kenner, LA 70065-3061 | 2009-06-05 |
| 1215178215 | Huy Quoc Nguyen | Family Medicine | 705 W Esplanade Ave Ste A, Kenner, LA 70065-2867 | 2009-03-20 |
| 1699966903 | Arakel Movsesyan | Family Medicine | 200 W Esplanade Ave Ste 409, Kenner, LA 70065-2474 | 2007-08-05 |
| 1245441955 | Erin Elizabeth Brewer | Family Medicine | 2120 Driftwood Blvd., Kenner, LA 70065-3574 | 2007-05-24 |
| 1235172354 | Mohammad Naeem | Family Medicine | 4041 Williams Blvd, Kenner, LA 70065-3179 | 2006-06-14 |
| 1568416709 | Quynh Mai Clinic LLC | Family Medicine | 705 W Esplanade Ave, Kenner, LA 70065-2867 | 2006-05-20 |
| 1568438745 | Ernest James IIi | Family Medicine | 200 W Esplanade Ave Ste 412, Kenner, LA 70065-2475 | 2006-02-27 |
| 1396724530 | Jill J. Feinberg | Family Medicine | 708 W Esplanade Ave, Kenner, LA 70065-2736 | 2006-01-16 |
| Find all providers in KENNER | ||||
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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.