JOAN GRODE MARSHAK (NPI# 1285635508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285635508 |
| Entity Type | Individual |
| Full Name | JOAN GRODE MARSHAK |
| Credential | M.D. |
| Practice Address |
4600 Ambassador Caffery Pkwy Lafayette LA 70508-6902 |
| Practice Telephone | 3375219113 |
| Practice Fax Number | 3372612697 |
| Mailing Telephone | 3375219113 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZN0500X |
Pathology Specialization: Neuropathology |
06781R | LA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
06781R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1358843 | 05 |
| Street Address |
4600 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630365 | Ellis Nguyen | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-09 |
| 1376165837 | Thai Cao | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-07 |
| 1649892183 | Martin Nguyen | Pharmacist | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-05-06 |
| 1437798865 | Nicholas Mccullough | Nurse Anesthetist, Certified Registered | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2020-01-02 |
| 1669970489 | Morgan Adams Eason | Physician Assistant | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6923 | 2018-01-26 |
| 1770023079 | Brittany Shaheen Lanclos | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2017-03-06 |
| 1689022139 | Janis Lee Lydick | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2016-05-25 |
| 1295195253 | Tricia Ann Templet | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2016-03-02 |
| 1891152385 | Brandi Prather | Nurse Practitioner | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2016-01-28 |
| 1083017271 | Banee Madison | Physician Assistant | 4600 Ambassador Caffery Pkwy, Lafayette, LA 70508-6902 | 2014-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407299076 | Josh Anthony Showalter | Pathology | 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503-2621 | 2013-04-12 |
| 1760403786 | Kelly S. Sorrells | Pathology | Umc Pathology, 2390 W Congress St, Lafayette, LA 70506 | 2006-07-23 |
| 1487650180 | Kenneth Gerald Fortress | Pathology | 2400 South St, Lafayette, IN 47904-3027 | 2005-06-27 |
| 1417953118 | Lee Allen Henderson | Pathology | 2400 South St., Department of Pathology, Lafayette, IN 47904 | 2005-06-27 |
| 1174967095 | Erin Eaton Langford | Pathology | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2013-04-22 |
| 1073808820 | Clinical Pathology Reliapath LLC | Pathology | 1810 Bertrand Dr, Lafayette, LA 70506-2055 | 2011-06-09 |
| 1730486382 | Reliapath LLC A Professional Medical Limited Liability Company | Pathology | 1810 Bertrand Dr, Lafayette, LA 70506-2055 | 2011-02-17 |
| 1639311079 | Richard Alan Owings II | Pathology | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2009-03-31 |
| 1013177575 | Zandra D'hue | Pathology | 5165 Mccarty Ln, Lafayette, IN 47905-8764 | 2008-06-09 |
| 1568596484 | Preferred Anatomic Pathology Services, Inc. | Pathology | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2007-03-15 |
| Find all providers in LAFAYETTE | ||||
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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.