METAIRIE TOTAL WELLNESS CLINIC, LLC (NPI# 1356830251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356830251 |
| Entity Type | Organization |
| Organization Name | METAIRIE TOTAL WELLNESS CLINIC, LLC |
| Practice Address |
1813 Veterans Memorial Blvd Ste B Metairie LA 70005-2637 |
| Mailing Address |
5000 Eldorado Pkwy Ste 150-153 Frisco TX 75033-8695 |
| Practice Telephone | 8002465698 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | SALVATORE CAMPO (DO / PHYSICIAN) |
| Authorized Official Telephone | 2147145343 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | MODERN MALE T-CLINIC, P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1813 VETERANS MEMORIAL BLVD STE B |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518233352 | Mark Andrew Price | Family Medicine | 3530 Houma Blvd Ste 300, Metairie, LA 70006-4203 | 2012-03-27 |
| 1447429923 | Asghar Majeed Bajwa | Family Medicine | 4228 Houma Blvd, 400, Metairie, LA 70006-3000 | 2008-02-28 |
| 1205832086 | Jack Albert Voight | Family Medicine | 3901 Houma Blvd, Ste 108, Metairie, LA 70006-2930 | 2005-06-24 |
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| 1093337073 | Brighter Days Treatment Centers LLC | Family Medicine | 2509 Broadmoor Blvd Ste B, Monroe, LA 71201-3184 | 2020-05-12 |
| 1548746852 | Wk Adult Medicine Specialists | Family Medicine | 2508 Bert Koun Loop Ste 300, Shreveport, LA 71118-3100 | 2018-07-19 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1417340233 | Asghar M Bajwa Md. LLC | Family Medicine | 1421 General Taylor Street, New Orleans, LA 70115 | 2015-03-18 |
| 1144573098 | Jeryl Reiser-parmenter Do LLC | Family Medicine | 1320 Prentiss Ave, New Orleans, LA 70122 | 2012-10-16 |
| 1740553569 | Pelican Clinic LLC | Family Medicine | 214 Fourpark Place, Suite A, Lafayette, LA 70507-2481 | 2012-02-10 |
| 1508144700 | In-home Physician Services of Louisiana | Family Medicine | 2024 Lac Cache Ct, Baton Rouge, LA 70816-8363 | 2011-07-22 |
| 1881880763 | Pma Medical Treatment Centers, LLC | Family Medicine | 613 Williams Blvd, Kenner, LA 70062-7635 | 2007-09-24 |
| 1619182045 | Susan E Uhrich | Family Medicine | 1214 W Veterans Meml Dr, Kaplan, LA 70548-4518 | 2007-05-11 |
| 1336261635 | Sangeeta A Shah | Family Medicine | 211 Kaliste Saloom Rd, Lafayette, LA 70508 | 2007-04-06 |
| Find all providers with the same taxonomy | ||||
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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.