BRYAN SCOTT DUDOUSSAT (NPI# 1285804500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285804500 |
Entity Type | Individual |
Full Name | BRYAN SCOTT DUDOUSSAT |
Credential | M.D. |
Practice Address |
15813 Paul Vega Md Dr Suite 100 Hammond LA 70403-1495 |
Mailing Address |
Po Box 2668 Revenue Mgmt Dept Hammond LA 70404-2668 |
Practice Telephone | 9852302663 |
Practice Fax Number | 9853704225 |
Mailing Telephone | 9852301682 |
Mailing Fax Number | 9852301617 |
Enumeration Date | 2008-03-03 |
Last Update Date | 2019-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | MD200252 | LA | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD200252 | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1074675 | 05 |
Street Address |
15813 PAUL VEGA MD DR SUITE 100 |
City | HAMMOND |
State | LA |
Zip Code | 70403-1495 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891765954 | Charles R Ducombs | Internal Medicine | 15813 Paul Vega Md Dr, Suite 300, Hammond, LA 70403-1426 | 2006-01-23 |
1700444064 | Jamie Theresa Pierre | Audiologist | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2019-06-03 |
1194288068 | Hospital Service District #1 of Tangipahoa Parish | Pharmacy | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2019-04-09 |
1083143457 | Jeni Abrams Dunnington | Audiologist | 15813 Paul Vega Md Dr, Hammond, LA 70403-1426 | 2017-06-08 |
1982145470 | Carla Graves | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 100, Hammond, LA 70403-1426 | 2017-03-16 |
1750745964 | Kaila Smith | Nurse Practitioner | 15813 Paul Vega Md Dr, Ste 401 - Urology Clinic, Hammond, LA 70403-1426 | 2016-04-13 |
1326405721 | Shawn Dearie | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 300, Hammond, LA 70403-1426 | 2016-01-15 |
1992186100 | Jodee Bernier | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 202, Hammond, LA 70403-1426 | 2015-06-12 |
1659763118 | Corie M Downing | Nurse Practitioner | 15813 Paul Vega Md Dr, Suite 300a, Hammond, LA 70403-1426 | 2015-02-20 |
1104227107 | Hannah J Smitherman | Speech-Language Pathologist | 15813 Paul Vega Md Dr, Suite 301, Hammond, LA 70403-1426 | 2014-09-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
Find all providers in zip 70403 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316146228 | Orthopaedic Sports Specialists of Louisiana LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5051 | 2007-07-12 |
1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
1033633284 | Allen T. Borne, M.d., LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2017-07-31 |
1306377189 | Donald C. Faust, Md | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2017-03-23 |
1700282704 | Lmg, LLC | Orthopaedic Surgery | 2731 Napoleon Ave, New Orleans, LA 70115-6913 | 2014-11-18 |
1326485319 | Matthew Rand Mccarley | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2013-05-30 |
1487949483 | Brent Van Mccarty | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Covington, LA 70433-9167 | 2011-06-17 |
1578855896 | Allen T Borne | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2011-05-04 |
1396069308 | Katherine Faust | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2010-03-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BRYAN SCOTT DUDOUSSAT.
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.