DR. JUAN MANUAL BOSSANO (NPI# 1346231875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346231875 |
| Entity Type | Individual |
| Full Name | DR. JUAN MANUAL BOSSANO |
| Credential | MD |
| Practice Address |
2903 1st Ave Lake Charles LA 70601-8809 |
| Practice Telephone | 3374786480 |
| Practice Fax Number | 3374749637 |
| Mailing Telephone | 3374786480 |
| Mailing Fax Number | 3374749637 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
10107R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1976318 | 05 |
| Street Address |
2903 1ST AVE |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605133 | Anatole Karpovs | Pediatrics | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2005-10-28 |
| 1184247017 | Casey Scott Simpson | Social Worker | 2903 1st Ave, Lake Charles, LA 70601-8897 | 2020-05-27 |
| 1043783814 | Megan Leblanc Thibodeaux | Nurse Practitioner | 2903 1st Ave, Lake Charles, LA 70601-8897 | 2019-01-04 |
| 1043792617 | Angela Erion Lee | Social Worker | 2903 1st Ave, Lake Charles, LA 70601-8897 | 2018-08-30 |
| 1922416841 | Alisha Boudreaux | Nurse Practitioner | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2014-07-23 |
| 1619310992 | Stephanie Mead Treme | Pediatrics | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2013-04-17 |
| 1629308481 | Lauren Lesak Caraway | Physician Assistant | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2009-12-30 |
| 1154552131 | Kari Couch Hankins | Nurse Practitioner | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2009-08-07 |
| 1306027701 | Kipp Burnette Ardoin | Pediatrics | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2007-11-14 |
| 1760679286 | Misty Dawn Bowman | Nurse Practitioner | 2903 1st Ave, Lake Charles, LA 70601-8809 | 2007-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316955701 | Chih Hao Lin | Pediatrics | 4200 Nelson Rd, Lake Charles, LA 70605-4118 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174889588 | Julie Baham Gallois | Pediatrics | 6159 Canal Blvd, New Orleans, LA 70124-3046 | 2012-04-10 |
| 1508131830 | Danielle Eggie Thompson | Pediatrics | 500 Rue De La Vie St Ste 405, Baton Rouge, LA 70817-5128 | 2012-03-20 |
| 1134448814 | Cea Chenea Tillis | Pediatrics | 263 Metairie Heights Ave, Metairie, LA 70001-3036 | 2010-05-20 |
| 1326363664 | Jessica Lynn Steinkampf | Pediatrics | 5616 Annunciation St., New Orleans, LA 70115 | 2010-03-30 |
| 1194916502 | Sara Sibley Serio | Pediatrics | 4027 Baltimore Ave, Shreveport, LA 71106-1009 | 2007-08-09 |
| 1306069059 | Nicole Renae Mitchell | Pediatrics | 500 Rue De La Vie, Suite 405, Baton Rouge, LA 70817 | 2007-04-11 |
| 1497800361 | Candace Lee Smith | Pediatrics | 1020 Old Metairie Pl, Metairie, LA 70001-6300 | 2007-01-23 |
| 1699839902 | Jennifer Almacen Bisquera | Pediatrics | 100 Asma Boulevard, Suite 385, Lafayette, LA 70508 | 2006-12-20 |
| 1982766358 | Jennifer Elaine Hunter | Pediatrics | 1008 Michigan Ave, Kenner, LA 70062-6130 | 2006-12-14 |
| 1588725527 | Juan Jorge Gershanik | Pediatrics | 1303 Henry Clay Avenue, Neonatal Medical Group, New Orleans, LA 70118 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.