SOUTHERN ENDOCRINOLOGY LLC (NPI# 1316413560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316413560 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ENDOCRINOLOGY LLC |
| Practice Address |
102 Thomas Rd Ste 113 West Monroe LA 71291-7365 |
| Mailing Address |
2026 Rosedown Dr Monroe LA 71201-3083 |
| Practice Telephone | 3183873453 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | DR. MOHAMMAD MOUSA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3183873453 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
102 THOMAS RD STE 113 |
| City | WEST MONROE |
| State | LA |
| Zip Code | 71291-7365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515279 | Bayou Belle Wellness | Chiropractor | 108 Zephyr St, West Monroe, LA 71291 | 2019-08-27 |
| 1710546593 | Stroolamb, LLC | Technician | 201 Trenton Street, Suite 1, West Monroe, LA 71291 | 2019-06-06 |
| 1588190714 | Varnado Delmore | Case Manager/Care Coordinator | 100 Patton Dr., West Monroe, LA 71291 | 2017-05-09 |
| 1518419373 | Kristana Haynes | Counselor | 241 Blanchard Street, Apt #3202, West Monroe, LA 71291 | 2016-10-27 |
| 1295190841 | Charles A Hudson | Counselor | 307 North 6th, West Monroe, LA 71291 | 2015-12-28 |
| 1790157329 | Catherine Yearby | Counselor | 1912 N 7th St, Apt 137, West Monroe, LA 71291 | 2015-10-22 |
| 1447628235 | Julia Wroten Terral | Dental Hygienist | 5454 Cypress St., West Monroe, LA 71291 | 2015-09-10 |
| 1528474954 | Nastosha Allen Griffin | Student in an Organized Health Care Education/Training Program | 2500 N. 7th Street #500, West Monroe, LA 71291 | 2014-07-07 |
| 1891109351 | Russell Roark | Pharmacist | 5251 Cypress Street, West Monroe, LA 71291 | 2014-06-12 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| Find all providers in zip 71291 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609994714 | Trudy H Sanson Md A Medical Corp | Internal Medicine | 102 Thomas Rd, Suite 206, West Monroe, LA 71291-7366 | 2007-03-27 |
| 1104889781 | Trudy H Sanson | Internal Medicine | 102 Thomas Rd, Suite 206, West Monroe, LA 71291-7366 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689913832 | Sylvia Ann Heidingsfelder | Internal Medicine | 5805 Highland Rd, Baton Rouge, LA 70808-6559 | 2013-02-07 |
| 1649562604 | Dragana Lovre | Internal Medicine | 1430 Tulane Ave # 8553, New Orleans, LA 70112-2632 | 2011-05-10 |
| 1902123995 | Abdul Mannan Khan | Internal Medicine | 15813 Paul Vega Md Dr Ste 300a, Hammond, LA 70403-1431 | 2010-04-29 |
| 1598928749 | Edward L. Michals | Internal Medicine | 2639 Desoto St, New Orleans, LA 70119-3008 | 2008-07-08 |
| 1295994432 | Karen E. Friday | Internal Medicine | 1012 Philip St, New Orleans, LA 70130-5552 | 2008-06-03 |
| 1548306137 | Lydia Yvonne Melendez Ramirez | Internal Medicine | 1400 Poydras St, Ambulatory Dept 3rd Floor, New Orleans, LA 70112-5100 | 2007-01-30 |
| 1215009360 | Mark Christian Lueg | Internal Medicine | 300 Mariners Plaza, Suite 303, Manderville, LA 70448 | 2006-11-14 |
| 1255448973 | Iberia General Hospital and Medical Center | Internal Medicine | 2205 Old Jeanerette Rd, New Iberia, LA 70563-8687 | 2006-08-25 |
| 1962436097 | Gay M Story | Internal Medicine | 5428 Odonovan Dr, Ste B, Baton Rouge, LA 70808-4374 | 2006-07-11 |
| 1265489603 | Susana Laura Dipp | Internal Medicine | 1804 Persimmon Ave, Metairie, LA 70001-2345 | 2006-05-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST MONROE |
| Zip Code | 71291 |
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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.