MISS MYRA LOUISE ANDERSON (NPI# 1255474466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255474466 |
Entity Type | Individual |
Full Name | MISS MYRA LOUISE ANDERSON |
Credential | M.D. |
Practice Address |
879 Milling Ave Luling LA 70070-4442 |
Mailing Address |
40189 Pelican Point Pkwy. Gonzales LA 70737-8501 |
Practice Telephone | 9857852979 |
Practice Fax Number | 9857855051 |
Mailing Telephone | 5044913124 |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD.06513R | LA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221228 | Myra Lynne Anderson | Pharmacist | 18535 Fm 1488 Rd, Magnolia, TX 77354-2700 | 2020-10-01 |
1831668557 | Myra Jenea Anderson | Behavior Technician | 4201 N 1-10 Service Rd W, Metairie, LA 70006 | 2018-11-26 |
Street Address |
879 MILLING AVE |
City | LULING |
State | LA |
Zip Code | 70070-4442 |
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 | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
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1093337073 | Brighter Days Treatment Centers LLC | Family Medicine | 2509 Broadmoor Blvd Ste B, Monroe, LA 71201-3184 | 2020-05-12 |
1548746852 | Wk Adult Medicine Specialists | Family Medicine | 2508 Bert Koun Loop Ste 300, Shreveport, LA 71118-3100 | 2018-07-19 |
1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
1417340233 | Asghar M Bajwa Md. LLC | Family Medicine | 1421 General Taylor Street, New Orleans, LA 70115 | 2015-03-18 |
1144573098 | Jeryl Reiser-parmenter Do LLC | Family Medicine | 1320 Prentiss Ave, New Orleans, LA 70122 | 2012-10-16 |
1740553569 | Pelican Clinic LLC | Family Medicine | 214 Fourpark Place, Suite A, Lafayette, LA 70507-2481 | 2012-02-10 |
1508144700 | In-home Physician Services of Louisiana | Family Medicine | 2024 Lac Cache Ct, Baton Rouge, LA 70816-8363 | 2011-07-22 |
1881880763 | Pma Medical Treatment Centers, LLC | Family Medicine | 613 Williams Blvd, Kenner, LA 70062-7635 | 2007-09-24 |
1619182045 | Susan E Uhrich | Family Medicine | 1214 W Veterans Meml Dr, Kaplan, LA 70548-4518 | 2007-05-11 |
1336261635 | Sangeeta A Shah | Family Medicine | 211 Kaliste Saloom Rd, Lafayette, LA 70508 | 2007-04-06 |
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.