ST. BERNARD EMERGENCY GROUP, LLC (NPI# 1306386685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306386685 |
| Entity Type | Organization |
| Organization Name | ST. BERNARD EMERGENCY GROUP, LLC |
| Practice Address |
8000 W Judge Perez Dr Chalmette LA 70043-1668 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 5048269500 |
| Mailing Telephone | 8008939698 |
| Mailing Fax Number | 3372627246 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
8000 W JUDGE PEREZ DR |
| City | CHALMETTE |
| State | LA |
| Zip Code | 70043-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376769232 | Kim Michelle Zweifler | Psychologist | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2007-04-18 |
| 1114432341 | St. Bernard Physician Services, LLC | Physician Assistant | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2017-12-11 |
| 1942722178 | Holly Nunez Chesnut | Nurse Practitioner | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2017-07-10 |
| 1679095863 | Deborah Nicole Odum Bryant | Physician Assistant | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2017-07-10 |
| 1386173334 | Renee Elizabeth Armstrong | Physician Assistant | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2017-06-05 |
| 1336527480 | Alyce Johnston | Nurse Anesthetist, Certified Registered | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2015-05-08 |
| 1447500897 | Professional Hospitalist of Louisiana, Inc. | Hospitalist | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2012-09-13 |
| 1578824504 | Southern Emergency Medical LLC | Emergency Medicine | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2012-06-06 |
| 1841559853 | Guardian Care LLC | Radiology | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2012-05-10 |
| 1083903744 | Hospital Service District of St. Bernard Parish | General Acute Care Hospital | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2011-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235644 | Alyza Dacula | Behavioral Analyst | 2909 Pecan Dr, Chalmette, LA 70043 | 2018-05-12 |
| 1477054856 | Ricci Jean Mcdaniel | Physical Therapy Assistant | 2421 Fenelon St., Chalmette, LA 70043 | 2018-02-22 |
| 1811495971 | Gwendolyn Ann Hill | Home Health | 3517 Golden Dr. Apt C, 3517 Golden Dr. Apt C, Chalmett, LA 70043 | 2018-01-24 |
| 1669990347 | Kelly E Hessel | Counselor | 3517 Lyndell Dr, Chalmette, LA 70043 | 2017-09-01 |
| 1841717444 | Idrissa Karon Lipscomb | Counselor | 2201 Pirate Dr, Chalmette, LA 70043 | 2017-08-24 |
| 1518496819 | Amanda C. Offner | Nurse Practitioner | 8050 W Judge Perez Dr Ste 3100, Chalmette, LA 70043 | 2017-06-08 |
| 1770019465 | Amber Kirsten Richards | Counselor | 2420 Corinne Dr, Chalmette, LA 70043 | 2017-05-02 |
| 1568903540 | Ashley James | Counselor | 908 W. Judge Perez Dr., Suite C, Chalmette, LA 70043 | 2017-03-10 |
| 1790232817 | Fresenius Medical Care Chalmette, LLC | Clinic/Center | 3027 Jean Lafitte Pkwy, Chalmette, LA 70043 | 2016-09-07 |
| 1023464260 | Ingrid Adams | Case Manager/Care Coordinator | 909 E. Josephine St, Chalmette, LA 70043 | 2016-05-06 |
| Find all providers in zip 70043 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578824504 | Southern Emergency Medical LLC | Emergency Medicine | 8000 W Judge Perez Dr, Chalmette, LA 70043-1668 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1164956827 | Occucare International Lafayette | Emergency Medicine | 1028 Forum Dr, Broussard, LA 70518-8060 | 2017-04-19 |
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
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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.