AGAPE EAR NOSE & THROAT CLINIC PC (NPI# 1386867968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386867968 |
Entity Type | Organization |
Organization Name | AGAPE EAR NOSE & THROAT CLINIC PC |
Practice Address |
1608 S 5th St Leesville LA 71446-5304 |
Practice Telephone | 3373921000 |
Practice Fax Number | 3373921099 |
Mailing Telephone | 3373921000 |
Mailing Fax Number | 3373921099 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2011-09-14 |
Authorized Official Name | DR. STEVEN KENNETH SEWELL (PHYSICIAN) |
Authorized Official Telephone | 3373921000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 12272R | LA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1697664 | 05 | |
LA | BCBS PROVIDER NUMBER | C4958 | 01 |
LA | MEDICARE ID | 5CX36 | 01 |
Street Address |
1608 S 5TH ST |
City | LEESVILLE |
State | LA |
Zip Code | 71446-5304 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427019389 | Steven K Sewell | Otolaryngology | 1608 S 5th St, Leesville, LA 71446-5304 | 2006-03-30 |
1104095603 | Awakening Sleep Center LLC | Clinic/Center | 1608 S 5th St, Suite B, Leesville, LA 71446-5304 | 2008-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699399048 | Just Health | Clinic/Center | 1203 South Fourth St, Leesville, LA 71446 | 2020-06-02 |
1487298964 | Usafetrans | Non-emergency Medical Transport (VAN) | 9348 Shreveport Hwy, Leesville, LA 71446 | 2019-10-29 |
1235634486 | Iberia Comprehensive Community Health Center, Inc. | Clinic/Center | 298 Nolan Trace Pkwy., Leesville, LA 71446 | 2018-03-29 |
1598280810 | Heather Wisby | Nurse Practitioner | 919 S. 10th St., Leesville, LA 71446 | 2017-08-08 |
1487183802 | Cathryn Lea Gaur | Speech-Language Pathologist | 300 Nolan Trace, Leesville, LA 71446 | 2017-06-08 |
1356708515 | Jessica Slaughter | Counselor | 1808 S 5th St, Suite A, Leesville, LA 71446 | 2016-01-19 |
1366820714 | Companion Care of Southwest Louisiana | In Home Supportive Care | 407 B North 5th Street, Leesville, LA 71446 | 2015-05-18 |
1760887673 | Great River Orthopedic and Sports Medicine Center, Inc. | Orthopaedic Surgery | 800 S. 3rd St., Leesville, LA 71446 | 2014-11-04 |
1003244781 | Byrd Regional Hospital | General Acute Care Hospital | 1020 W. Fertitta Blvd., Leesville, LA 71446 | 2013-10-16 |
1447500293 | Jana N Lambert | Nurse Practitioner | 919 S. 10th St, Leesville, LA 71446 | 2012-09-19 |
Find all providers in zip 71446 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407045792 | Leesville Heart Center Pmc | Specialist | 1106a Port Arthur Ter, Leesville, LA 71446-4636 | 2007-10-23 |
1760570667 | Minerva Ramirez | Specialist | 1110 Port Arthur Ter, Leesville, LA 71446-4636 | 2006-10-10 |
1346216694 | John David De Lapp | Specialist | 500 S 6th St Ste A, Leesville, LA 71446-4442 | 2006-02-27 |
1215915202 | Western Louisiana Internal Medicine | Specialist | 1015 W Fertitta Blvd, Leesville, LA 71446-4646 | 2006-01-09 |
1639376031 | West State Orthopedics & Sport Medicine | Specialist | 908 S 10th St Ste A, Leesville, LA 71446-4614 | 2007-06-28 |
1013114818 | Ridge Pediatrics and Adolescent Center | Specialist | 338 E Columbia Ave, Suite E, Leesville, SC 29070-9285 | 2007-06-27 |
1922146844 | Lubbos Medical Clinic | Specialist | 201 W Arkansas St, Leesville, LA 71446-4752 | 2007-02-02 |
1154487015 | Minerva M. Ramirez, Md Apmc | Specialist | 1110 Port Arthur Ter, Leesville, LA 71446-4636 | 2006-12-28 |
1255310199 | Guru Prasad Ghanta | Specialist | 1015 W Fertitta Blvd, Leesville, LA 71446-4646 | 2006-01-10 |
1821082553 | Christina Allaine Lord | Specialist | 800 S 3rd St, Leesville, LA 71446-4750 | 2005-09-08 |
Find all providers in LEESVILLE |
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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.