SWC RUSTON, LLC (NPI# 1295081909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295081909 |
| Entity Type | Organization |
| Organization Name | SWC RUSTON, LLC |
| Practice Address |
1809 Northpointe Ln Suite 103 Ruston LA 71270-3853 |
| Practice Telephone | 3182553223 |
| Practice Fax Number | 3182553181 |
| Mailing Telephone | 3182553223 |
| Mailing Fax Number | 3182553181 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | NATHAN WAYNE GOODYEAR (MEDICAL DOCTOR) |
| Authorized Official Telephone | 3182553223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD.201086 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1453331 | 05 | |
| NPI | 1538166970 | 01 | |
| LA | STATE MEDICAL LICENSE | MD.201086 | 01 |
| Street Address |
1809 NORTHPOINTE LN SUITE 103 |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891711883 | Edie P Lemley | Nurse Practitioner | 1809 Northpointe Ln, Suite 102, Ruston, LA 71270-3853 | 2006-07-14 |
| 1992172225 | Flowstream Health Solutions, L.L.C. | Clinic/Center | 1809 Northpointe Ln, Suite 203, Ruston, LA 71270-3853 | 2015-08-21 |
| 1306262662 | Clinical Reference Laboratories of America, LLC | Clinical Medical Laboratory | 1809 Northpointe Ln, Suite 203, Ruston, LA 71270-3853 | 2014-03-11 |
| 1235487380 | Lucy Douglas | Clinical Nurse Specialist | 1809 Northpointe Ln, Suite 203, Ruston, LA 71270-3853 | 2012-08-21 |
| 1245588300 | Seasons Primary Care | Clinical Nurse Specialist | 1809 Northpointe Ln, Suite 203, Ruston, LA 71270-3853 | 2012-08-21 |
| 1285933697 | Winter Deleen Oliver | Nurse Practitioner | 1809 Northpointe Ln, Suite 102, Ruston, LA 71270-3853 | 2011-03-24 |
| 1316252760 | Dayanny Langiulli | Pediatrics | 1809 Northpointe Ln, Suite 102, Ruston, LA 71270-3853 | 2010-08-10 |
| 1649472184 | James Roman Farrar | Dentist | 1809 Northpointe Ln, Ste 104, Ruston, LA 71270-3853 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932329240 | Ruston Clinic Company, LLC | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 103, Ruston, LA 71270-5972 | 2007-04-27 |
| 1437281367 | Pelvic Health and Menopause Center LLC | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 201, Ruston, LA 71270-5972 | 2007-03-09 |
| 1235109315 | Ronald Anders | Obstetrics & Gynecology | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881720 | Myron E Moorehead Md Apmc | Obstetrics & Gynecology | 200 W Esplanade Ave Ste 311, Kenner, LA 70065-2474 | 2017-10-03 |
| 1669722930 | Frank Jack George | Obstetrics & Gynecology | 129 Rue Les Bois, Madisonville, LA 70447 | 2012-09-14 |
| 1548549868 | L. Weather, Md Apc | Obstetrics & Gynecology | 2120 Bert Kouns Loop Ste C, Suite C, Shreveport, LA 71118-3351 | 2011-08-04 |
| 1699069674 | Joseph Wayne Smith | Obstetrics & Gynecology | 2761 Point Dr, Monroe, LA 71201-2435 | 2011-06-07 |
| 1508009978 | Joia Adele Crear Md LLC | Obstetrics & Gynecology | 170 Broadway St, Suite, New Orleans, LA 70118-6709 | 2009-04-14 |
| 1184838310 | Fertilityanswers, LLC | Obstetrics & Gynecology | 206 E Farrel Rd, Lafayette, LA 70508-7104 | 2007-05-09 |
| 1083747265 | Karen F. Miller | Obstetrics & Gynecology | 10101 Siegen Ln, Suite 3b, Baton Rouge, LA 70810-4982 | 2007-03-14 |
| 1639201254 | Philip Hindelang | Obstetrics & Gynecology | Louisiana State University, Infirmary Road, Baton Rouge, LA 70803-0001 | 2007-03-09 |
| 1023151198 | James Gordon Gengelbach | Obstetrics & Gynecology | 5145 Bluebonnet Blvd, Baton Rouge, LA 70809-3076 | 2007-02-15 |
| 1396897062 | North Oaks Obstetrics & Gynecology | Obstetrics & Gynecology | 15778 Medical Arts Plaza, Hammond, LA 70403 | 2007-01-16 |
| 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.