ZACHARY ALLEN RUNGE KLEINPETER (NPI# 1356829774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356829774 |
| Entity Type | Individual |
| Full Name | ZACHARY ALLEN RUNGE KLEINPETER |
| Other Name | ZACHARY ALLEN RUNGE |
| Credential | PA-C |
| Practice Address |
1111 Medical Center Blvd Ste S630 Marrero LA 70072 |
| Mailing Address |
1111 Medical Center Blvd Ste S750 Marrero LA 70072-3197 |
| Practice Telephone | 5049348320 |
| Practice Fax Number | 5049348940 |
| Mailing Telephone | 5043406976 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 310190 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
310190 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
310190 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1705 Plantation Oak Dr, Baton Rouge, LA 708107120 | 2259386088 |
| Street Address |
1111 MEDICAL CENTER BLVD STE S630 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619595030 | Kaitlyn Foret Stall | Occupational Therapist | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072-3194 | 2020-07-13 |
| 1063972495 | Allyson Elaine Barnes | Physical Therapist | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072-3194 | 2019-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| 1053851048 | Jasmine Hall | Counselor | 6217 West Bank Expressway, Marrero, LA 70072 | 2017-02-24 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1366924458 | Shawna Lynn Morron | Physician Assistant | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2018-09-05 |
| 1265822878 | Kellee R. Swider | Physician Assistant | 4513 Westbank Expressway, Marrero, LA 70072-3147 | 2015-02-03 |
| 1558701631 | Amanda Cenac Martin | Physician Assistant | 1111 Medical Center Blvd, Suite S350, Marrero, LA 70072-3151 | 2013-07-03 |
| 1558705848 | Katherine Butler Swords | Physician Assistant | 1111 Medical Center Blvd, Suite South 350, Marrero, LA 70072-3151 | 2013-04-17 |
| 1902184930 | Alisha Latham Lee | Physician Assistant | 1111 Medical Center Blvd, Suite S-450, Marrero, LA 70072-3151 | 2011-07-25 |
| 1629365408 | Kristina N Vidrine | Physician Assistant | 920 Avenue B, Marrero, LA 70072-3112 | 2011-06-30 |
| 1285642926 | Mary Francine Briscoe | Physician Assistant | 1111 Medical Center Blvd, Suite S-450, Marrero, LA 70072 | 2006-08-04 |
| 1265477855 | Andrea I Mahfouz | Physician Assistant | 1111 Medical Center Blvd, Ste S-750, Marrero, LA 70072 | 2006-06-18 |
| Find all providers in MARRERO | ||||
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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.