CARLOS M VIDES JR.


Address: 4405 Highway 190 East Service Rd, Covington, LA 70433-4957
Phone: 9858938505

CARLOS M VIDES JR. (NPI# 1245308311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245308311
Entity Type Individual
Full Name CARLOS M VIDES JR.
Credential M.D.
Practice Address 4405 Highway 190 East Service Rd
Covington
LA 70433-4957
Practice Telephone 9858938505
Practice Fax Number 9858930093
Mailing Telephone 9858938505
Mailing Fax Number 9858930093
Enumeration Date 2006-11-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 10766R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1493317 05

Office Location

Street Address 4405 HIGHWAY 190 EAST SERVICE RD
City COVINGTON
State LA
Zip Code 70433-4957

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710395660 Jennifer Dorand Guillory Nurse Practitioner 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2014-07-23
1881727691 Pontchartrain Pediatrics LLC Pediatrics 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2007-03-13
1841368990 Leslie L Brown Pediatrics 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2006-11-30
1275601338 Kelly O Londeree Pediatrics 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2006-11-30
1811065998 Melanie Templet Yerger Pediatrics 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2006-11-30
1306914478 Mary M Gioe Pediatrics 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2006-11-30
1689742744 Patricia S Greene Pediatrics 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2006-11-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790301018 Caroline K. Wilson Speech-Language Pathologist 19105 Sandy Lane Suite A, Covington, LA 70433 2020-06-23
1568092013 Tracy T Aljabi Nurse Practitioner 648 Crestwood Dr., Covington, LA 70433 2020-01-23
1093365462 Maria Robert Hebrock Marriage & Family Therapist 71338 La-21, Suite 101, Covington, LA 70433 2019-09-17
1750930806 Terry Fink Troxler Speech-Language Pathologist 521 Covington Point Dr, Covington, LA 70433 2019-09-10
1780231589 Margaret Nordness Favre Behavioral Analyst 3999 Us-190, Covington, LA 70433 2019-08-26
1881241180 Jennifer Ann Bacile Counselor 604 E 15th Street, Covington, LA 70433 2019-08-21
1356906689 Moving and Caring Transportation LLC Non-emergency Medical Transport (VAN) 251 Vintage Drive, Covington, LA 70433 2019-05-02
1780153874 Nga Endoscopy Center LLC Clinic/Center 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 2018-11-19
1831667229 Geauxprodme Durable Medical Equipment & Medical Supplies 1304 Champagne Street, Covington, LA 70433 2018-11-05
1376037994 Pamela Ann Bernabo Specialist/Technologist, Other 80 Maison Drive, Covington, LA 70433 2018-06-18
Find all providers in zip 70433

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093143810 Decatur Pediatrics Group - Covington Pediatrics 10246 Industrial Blvd Ne, Covington, GA 30014-1476 2013-10-15
1447541321 Nancy O'neil Carter Pediatrics 11 Dogwood Ln, Covington, LA 70435-9526 2011-04-26
1538329370 Amar Harshad Dave Pediatrics 751 Mirabella Ln, Covington, LA 70433-0882 2008-06-16
1578743811 Jill Aileen Fitzpatrick Pediatrics 101 Judge Tanner Blvd., #302, Covington, LA 70433-7506 2007-11-03
1417094244 Elizabeth B White Md Inc Pediatrics 205 Highland Park Plz, Covington, LA 70433-7130 2007-01-31
1487703153 Candra Lanette Mack Pediatrics 4152 Baker Street, Ne, Covington, GA 30014-1404 2007-01-10
1922012269 Ghazala Khalid Pediatrics 7138 Highway 212, C, Covington, GA 30016-8047 2006-07-29
1245275809 Fairway Pediatrics LLC Pediatrics 7020 Highway 190, Suite C, Covington, LA 70433-4954 2006-06-18
1881645174 Cheryl A Manning Pediatrics 4106 Mill St Ne, Covington, GA 30014-2539 2006-05-12
1487605895 Juliana N Nahas Pediatrics 4181 Hospital Dr, Ste 202, Covington, GA 30014 2006-05-12
Find all providers in COVINGTON

Competitor

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City COVINGTON
Zip Code 70433

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Dataset Information

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.

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