NICHOLAS GLEN MAGGIO (NPI# 1295398808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295398808 |
| Entity Type | Individual |
| Full Name | NICHOLAS GLEN MAGGIO |
| Practice Address |
7777 Hennessy Blvd Ste 1000 Baton Rouge LA 70808-4370 |
| Mailing Address |
Po Box 395 Clinton LA 70722-0395 |
| Practice Telephone | 2257673900 |
| Practice Fax Number | 2257662226 |
| Mailing Telephone | 2256832529 |
| Mailing Fax Number | 2256831310 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
204478 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18289 Gould Drive, St Francisville, LA 70775 | 2257673900 | 2257662226 |
| 31985 Highway 16, Suite B, Denham Springs, LA 70726 | 2257673900 | 2257662226 |
| 433 Plaza St, Bogalusa, LA 704273729 | 9857307023 | 9857307024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871005421 | Nicholas Matthew Maggio | Physical Therapist | 2125 Noll Dr Ste 100, Lancaster, PA 17603-7607 | 2017-11-03 |
| Street Address |
7777 HENNESSY BLVD STE 1000 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515011 | Norman Joseph Deumite | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2005-08-10 |
| 1942826953 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2020-06-25 |
| 1982104790 | Brett Janis | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808 | 2018-02-19 |
| 1235653890 | Rosaline Osu | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2017-07-26 |
| 1083046759 | Robin Beth Fischer | Nurse Practitioner | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2013-08-05 |
| 1639469851 | John Cullen Gulotta | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808 | 2011-04-08 |
| 1356585228 | Leon Cannizzaro IIi | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2009-04-22 |
| 1376792879 | Jorge Alejandro Castellanos | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2008-09-09 |
| 1205084076 | Wenjie Xu | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2008-09-04 |
| 1124215173 | Elias B Hanna | Internal Medicine | 7777 Hennessy Blvd Ste 1000, Baton Rouge, LA 70808-4370 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1972116424 | Kiona Brooke Hayes | Nurse Practitioner | 1224 Meridian Dr, Baton Rouge, LA 70820-5316 | 2020-08-25 |
| 1932727286 | Alise Williams | Nurse Practitioner | 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 | 2020-07-13 |
| 1881211803 | Shelita Banks | Nurse Practitioner | 11622 Flamingo Dr, Baton Rouge, LA 70814-7141 | 2020-06-26 |
| 1558985457 | Erika Halphen Forbes | Nurse Practitioner | 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 | 2020-06-05 |
| 1326676792 | Divinity Healthcare Clinic | Nurse Practitioner | 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 | 2020-03-31 |
| 1477188738 | Kenisha Hampton Manuel | Nurse Practitioner | 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 | 2020-03-06 |
| 1073157418 | Lakeva Marie Percy | Nurse Practitioner | 1522 Fig St, Baton Rouge, LA 70802-5028 | 2019-10-29 |
| 1144875162 | The Care Clinic LLC | Nurse Practitioner | 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 | 2019-08-06 |
| 1467004127 | Eddricka Fleming Franklin | Nurse Practitioner | 5884 Benson Dr, Baton Rouge, LA 70812-2605 | 2019-07-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
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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.