SOUTHEAST FAMILY MEDICAL PRACTICE (NPI# 1346874732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346874732 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST FAMILY MEDICAL PRACTICE |
| Practice Address |
1320 N Morrison Blvd Ste 125 Hammond LA 70401-2242 |
| Practice Telephone | 9854023762 |
| Practice Fax Number | 9852562591 |
| Mailing Telephone | 9854023762 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | JAZMIN ESCALANTE (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9854023762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1320 N MORRISON BLVD STE 125 |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184155020 | Jace Varkey | Family Medicine | 5500 Hohman Ave Ste 2a, Hammond, IN 46320-1942 | 2017-03-22 |
| 1831501212 | Community Care Network, Inc | Family Medicine | 3432 169th St, Hammond, IN 46323-2542 | 2014-05-20 |
| 1285078709 | Smita Reshma Prasad | Family Medicine | 11344 Copper Hill Dr., Hammond, LA 70403-2697 | 2013-04-26 |
| 1669638425 | John Phillip Cosgrove | Family Medicine | 5818 Columbia Ave, Hammond, IN 46320-2607 | 2008-07-31 |
| 1194913335 | Juan C Martinez | Family Medicine | 15813 Paul Vega Md Dr Ste 201, Hammond, LA 70403-1431 | 2007-10-12 |
| 1558440149 | St Margaret Mercy Healthcare Centers | Family Medicine | 3831 S Hohman Ave, Hammond, IN 46327-1160 | 2006-11-03 |
| 1649378175 | Shiv Kumar Sharma | Family Medicine | 5815 S Calumet Ave, Hammond, IN 46320-2352 | 2006-09-20 |
| 1477659449 | Evan H. Geissler, D.o., Ltd. | Family Medicine | 7134 Calumet Ave, Hammond, IN 46324-2406 | 2006-09-16 |
| 1962428953 | Family Medicine Physicians, L.L.C. | Family Medicine | 16052 Doctor's Boulevard, Hammond, LA 70403 | 2006-07-14 |
| 1437180346 | Rujuta R Gandhi | Family Medicine | 4022 Hohman Ave, Hammond, IN 46327-1239 | 2006-07-06 |
| Find all providers in HAMMOND | ||||
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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.