MAIN STREET PHYSICIAN SERVICES LLC (NPI# 1396150785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396150785 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHYSICIAN SERVICES LLC |
| Practice Address |
2315 E Main St New Iberia LA 70560-4031 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-01-28 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SR0400X |
Clinical Nurse Specialist Specialization: Rehabilitation |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2379437 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Lewis St, New Iberia, LA 705632043 | 3373747104 |
| Street Address |
2315 E MAIN ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404909 | Richard Andrew Vanbergen | Radiology | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-02-06 |
| 1467013284 | Alyssa Marie Ledet | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-24 |
| 1184283236 | Christopher B Staggers | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-12 |
| 1285293464 | Rebekah J Schmieder | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-11 |
| 1841785102 | Wade Dewayne Alexander | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2018-06-28 |
| 1922529692 | Justin Rozas II | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2017-07-03 |
| 1821487059 | Dustin Seth Guillotte | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2015-01-12 |
| 1750796041 | Main Street Emergency Group LLC | Physician Assistant | 2315 E Main St, New Iberia, LA 70560-4031 | 2014-06-25 |
| 1598190373 | Lorri Anne Price | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2013-09-11 |
| 1417389362 | Kathryn Frances Martin | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679629638 | Iberia Physician Services LLC | Hospitalist | 600 N Lewis St, New Iberia, LA 70563-2043 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870456 | American Specialty Medical Services, LLC | Hospitalist | 3600 Prytania St Ste A, New Orleans, LA 70115-3628 | 2020-04-20 |
| 1346728508 | Venture Hospitalist, LLC | Hospitalist | 1135 Royal St Apt 2, New Orleans, LA 70116-2717 | 2018-07-31 |
| 1144600925 | Kateryna A Poole | Hospitalist | 1516 Jefferson Highway, Bh629, Ochsner Internal Medicine Department, New Orleans, LA 70121 | 2015-06-05 |
| 1518386648 | Robert Oubre | Hospitalist | Hospital Medicine Services, 5000 Hennessy Blvd, Baton Rouge, LA 70808 | 2014-04-16 |
| 1376961912 | Marilyn Kristel Marshall | Hospitalist | 79 Coronado Ave, Kenner, LA 70065-3132 | 2014-04-01 |
| 1851718738 | Simon Shamass | Hospitalist | 1542 Tulane Ave Rm 444, New Orleans, LA 70112-2865 | 2014-03-27 |
| 1518252220 | Dustin Allan Abadco | Hospitalist | 180 West Esplande Avenue, Kenner, LA 70065-2467 | 2011-06-10 |
| 1952630360 | Hawkeye Medical, LLC | Hospitalist | 3319 Highway 107 South, Plaucheville, LA 71362 | 2009-12-14 |
| 1609005073 | Innovative Hospitalist Services LLC | Hospitalist | 85 Whisperwood Blvd Ste 1s, Slidell, LA 70458-1136 | 2009-07-07 |
| 1801037866 | Shane Guillory | Hospitalist | 252 Metairie Heights Ave, Metairie, LA 70001-3037 | 2009-03-20 |
| Find all providers with the same taxonomy | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
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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.