CONSERVATIVE MEDICAL MANAGEMENT A


Address: 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783
Phone: 3372696335

CONSERVATIVE MEDICAL MANAGEMENT A (NPI# 1376716761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376716761
Entity Type Organization
Organization Name CONSERVATIVE MEDICAL MANAGEMENT A
Practice Address 1103 Kaliste Saloom Rd
Suite 202
Lafayette
LA 70508-5783
Practice Telephone 3372696335
Practice Fax Number 3372352765
Mailing Telephone 3372696335
Mailing Fax Number 3372352765
Enumeration Date 2008-04-08
Last Update Date 2009-12-09
Authorized Official Name MITZIE B DUHON (OFFICE MANAGER)
Authorized Official Telephone 3372696335
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
L10009R LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1979732 05

Office Location

Street Address 1103 KALISTE SALOOM RD
SUITE 202
City LAFAYETTE
State LA
Zip Code 70508-5783

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215937073 Daniel Lee Hodges Physical Medicine & Rehabilitation 1103 Kaliste Saloom Rd, Suite 100, Lafayette, LA 70508-5783 2005-07-22
1659827129 William Brandon Barnhill Registered Nurse 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 2016-08-25
1174980643 Emily Degatur Hundley Physician Assistant 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 2016-01-28
1962800656 Laura Harolds Nurse Practitioner 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 2014-12-11
1508265638 Michael S Haydel Md Apmc Anesthesiology 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 2014-08-14
1952716011 Ashley Lynn Whitmore Orthopaedic Surgery 1103 Kaliste Saloom Rd, Ste. 100, Lafayette, LA 70508-5783 2014-06-27
1508277534 Kimberly Taylor Nurse Practitioner 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 2014-05-13
1245666254 Emily Renee Thibodaux Physician Assistant 1103 Kaliste Saloom Rd, Suite 206, Lafayette, LA 70508-5783 2013-09-23
1851662795 John B Sledge, IIi, Md,apmc Orthopaedic Surgery 1103 Kaliste Saloom Rd, Suite 100, Lafayette, LA 70508-5783 2012-01-24
1538438981 Monique Therese Ardoin Registered Nurse 1103 Kaliste Saloom Rd, Suite 304, Lafayette, LA 70508-5783 2011-12-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346868676 Cypress Bend Oral & Maxillofacial Surgery Dentist 106 Rue Bastille, Lafayette, LA 70508 2020-07-13
1184250607 Learning Grove Therapy LLC Clinic/Center 105 Anaheim Lane, Lafayette, LA 70508 2020-03-16
1780218727 Jennifer Trumps Case Manager/Care Coordinator 200 Entergy Parkway, Lafayette, LA 70508 2020-02-28
1740749605 Hunter Sy Arceneaux Physical Therapist 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 2019-03-19
1295292787 Brad Michael Gros Counselor 160 South Beadle Road, Lafayette, LA 70508 2019-02-21
1205337581 Alternative Perspectives, LLC Clinic/Center 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 2018-02-22
1124528807 Zachariah James Hebert Counselor 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 2018-02-19
1164934477 Ilyas Munshi, Md Apmc Non-Pharmacy Dispensing Site 99 W. Martial Ave, Lafayette, LA 70508 2017-10-26
1447761226 Louisiana Orthopaedic Specialists, LLC Durable Medical Equipment & Medical Supplies 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 2017-10-19
1306365457 Mk Dixon Counseling and Consulting Counselor 105 Industrial Parkway, Lafayette, LA 70508 2017-09-10
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710282439 Unity Healthcare, LLC Anesthesiology 3738 Landmark Drive, Suite A, Lafayette, IN 47905-6633 2011-01-12
1720160229 Pain Partners Md LLC Anesthesiology 380 Empire Road, Suite 200, Lafayette, CO 80026 2006-10-20
1629184635 Doreen T. Abadco Anesthesiology 114 Hospital Dr, Lafayette, LA 70503-2825 2006-08-22
1629001680 Shazia Meraj Siddiqui Anesthesiology 770 Park East Blvd, Suite B, Lafayette, IN 47905 2006-07-09
1508265638 Michael S Haydel Md Apmc Anesthesiology 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 2014-08-14
1740691831 James Grant Rabalais Anesthesiology 1103 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5784 2014-05-12
1346564366 Keri Copponex Anesthesiology 4212 W Congress St, Lafayette, LA 70506-6765 2010-03-19
1912058215 Pioneer Anesthesia and Pain Associates, L.L.C. Anesthesiology 114 Hospital Dr, Lafayette, LA 70503-2825 2007-01-15
1770656332 David C Miller Anesthesiology 3738 Landmark Dr Ste A, Lafayette, IN 47905 2006-11-15
1669589164 Joseph T Gillespie Anesthesiology 1103 Kaliste Saloom Rd, Suite 202, Lafayette, LA 70508-5783 2006-08-23
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Competitor

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City LAFAYETTE
Zip Code 70508

Improve Information

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Dataset Information

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.

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