LUPIN WOMENS HEALTH SERVICES, LLC (NPI# 1336487206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336487206 |
| Entity Type | Organization |
| Organization Name | LUPIN WOMENS HEALTH SERVICES, LLC |
| Practice Address |
120 Meadowcrest St Suite 350 Gretna LA 70056-5255 |
| Mailing Address |
828 Chartres St New Orleans LA 70116-3266 |
| Practice Telephone | 5043917678 |
| Mailing Telephone | 5043917678 |
| Mailing Fax Number | 5043917614 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |
| Authorized Official Name | DR. ELLIS RALPH LUPIN (OWNER) |
| Authorized Official Telephone | 5043917678 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L007673 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1054003 | 05 |
| Street Address |
120 MEADOWCREST ST SUITE 350 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467769 | James P Marra | Specialist | 120 Meadowcrest St, Ste 380, Gretna, LA 70056-5281 | 2005-06-15 |
| 1851852362 | Monica Idoyaga | Nurse Practitioner | 120 Meadowcrest St, Ste 245, Gretna, LA 70056-5280 | 2019-03-27 |
| 1205379203 | Jamila Mathews | Nurse Practitioner | 120 Meadowcrest St, Gretna, LA 70056-5255 | 2016-11-22 |
| 1487084943 | Capital City Medical Group, LLC | Internal Medicine | 120 Meadowcrest St, Suite 120, Gretna, LA 70056-5255 | 2013-11-20 |
| 1700144102 | Kim Phung Thi Nguyen | Pharmacist | 120 Meadowcrest St, Suite 150, Gretna, LA 70056-5255 | 2012-04-24 |
| 1962702175 | Daniel A Long Md A Professional Medical Corporation | Clinic/Center | 120 Meadowcrest St, #330, Gretna, LA 70056-5255 | 2010-10-22 |
| 1205064631 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 120 Meadowcrest St, Gretna, LA 70056-5255 | 2009-06-24 |
| 1063648525 | Daniel J Burst | Physician Assistant | 120 Meadowcrest St, Suite 300, Gretna, LA 70056-5255 | 2009-06-10 |
| 1518100312 | Crescent City Dermatology, LLC | Dermatology | 120 Meadowcrest St, Suite 460, Gretna, LA 70056-5255 | 2009-04-09 |
| 1841431038 | Teri C Bairnsfather | Audiologist | 120 Meadowcrest St, Suite 200, Gretna, LA 70056-5255 | 2009-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497054399 | Jill Marissa Berger | Obstetrics & Gynecology | 120 Ochsner Blvd Ste 360, Gretna, LA 70056 | 2011-03-18 |
| 1720161839 | Daniel J. Mompoint | Obstetrics & Gynecology | 230 Meadowcrest St, Gretna, LA 70056-5246 | 2006-10-23 |
| 1124094586 | Henry L Rosenberg | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2006-02-27 |
| 1184608010 | Troy Ulrich Drewitz | Obstetrics & Gynecology | 2500 Belle Chasse Highway, Gretna, LA 70056-7172 | 2005-12-05 |
| 1194724336 | Vu Anh Vuong | Obstetrics & Gynecology | 151 Meadowcrest Street, Suite H, Gretna, LA 70056 | 2005-07-19 |
| 1932498185 | Ilsa Leon | Obstetrics & Gynecology | 515 Westbank Expy, Gretna, LA 70053-5644 | 2011-03-28 |
| 1336450899 | Amanda Jo Buskevicius | Obstetrics & Gynecology | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2010-06-29 |
| 1063602506 | Jennifer L. Bigelow | Obstetrics & Gynecology | 515 Westbank Expy, Suite 7, Gretna, LA 70053-5644 | 2007-07-31 |
| 1508085929 | Aimee M Probasco | Obstetrics & Gynecology | 11946 Standing Stone Dr, Gretna, NE 68028-8094 | 2007-04-24 |
| 1265508410 | Mark Mclean Allen | Obstetrics & Gynecology | 515 Westbank Expressway, Suite 7, Gretna, LA 70053-5644 | 2006-11-28 |
| Find all providers in GRETNA | ||||
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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.