RIVERPARK AFTER HOURS CLINIC LLC (NPI# 1396792495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396792495 |
| Entity Type | Organization |
| Organization Name | RIVERPARK AFTER HOURS CLINIC LLC |
| Practice Address |
107 Front St Vidalia LA 71373-2836 |
| Practice Telephone | 3183362222 |
| Practice Fax Number | 3183366064 |
| Mailing Telephone | 3183362222 |
| Mailing Fax Number | 3183366064 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | IBRAHIM SEKI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3183362222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | MD14808R | LA | Emergency Medical Service Providers |
| Street Address |
107 FRONT ST |
| City | VIDALIA |
| State | LA |
| Zip Code | 71373-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251996 | Iley Floyd Dillon | Internal Medicine | 107 Front St, Suite 2109, Vidalia, LA 71373-2836 | 2005-08-09 |
| 1992326359 | Riverpark Dermatology Services LLC | Dermatology | 107 Front St, Rm 1-129, Vidalia, LA 71373 | 2020-04-27 |
| 1356875637 | Perfusion Vascular Vidalia LLC | Surgery | 107 Front St, Vidalia, LA 71373-2836 | 2017-04-13 |
| 1275985012 | Riverfront Urgent Care Center LLC | Orthopaedic Surgery | 107 Front St, Ste 2138, Vidalia, LA 71373-2836 | 2016-07-05 |
| 1407249766 | Riverpark Counseling LLC | Social Worker | 107 Front St, Ste 2134, Vidalia, LA 71373-2836 | 2015-03-11 |
| 1700937950 | Michael R Wimberly II | Physical Therapist | 107 Front St, Suite 230, Vidalia, LA 71373-2836 | 2007-01-15 |
| 1336209550 | J H Fairbanks, Md Pllc | Orthopaedic Surgery | 107 Front St, Suite 230, Vidalia, LA 39120 | 2006-12-11 |
| 1649341082 | Lisa Cazalot | Nurse Practitioner | 107 Front St, Vidalia, LA 71373-2836 | 2006-11-09 |
| 1255421038 | Riverpark Laboratory Services | Clinical Medical Laboratory | 107 Front St, Vidalia, LA 71373-2836 | 2006-10-13 |
| 1730276965 | Riverpark Community Cath Lab, LLC | Clinic/Center | 107 Front St, Vidalia, LA 71373-2836 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513494 | Total Urgent Care | Clinic/Center | 4014 Carter Street, Vidalia, LA 71373 | 2020-03-13 |
| 1609412097 | Hulin Urgent Care Services, LLC | Clinic/Center | 4319 Highway 84, Vidalia, LA 71373 | 2019-11-21 |
| 1720562556 | Neashion Marie Davis | Counselor | 1644 B Carter Street. Suite #2, Vidalia, LA 71373 | 2018-09-18 |
| 1992292403 | Angelica Francheska Woods | Counselor | 1644 B. Carter Street Suite 2, Vidalia, LA 71373 | 2018-04-19 |
| 1164973780 | Linda Sherbia | Counselor | 1644 B Carter St., Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1518418045 | Cheryl Clark | Case Manager/Care Coordinator | 1644 B Carter Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1972054500 | Sherry Cade | Counselor | 1644 B Carter Street, Suite 2, Vidalia, LA 71373 | 2016-10-19 |
| 1457801136 | Sarai Johnson | Counselor | 1644 B Carter Street Suite 2, Vidalia, LA 71373 | 2016-10-06 |
| 1053766410 | Erin Fournet Woodruff | Physical Therapist | 402 Holly Street, Vidalia, LA 71373 | 2016-05-04 |
| 1184084113 | Troy Nolan Thomas Jr. | Counselor | 4012 Carter St., Vidalia, LA 71373 | 2016-03-03 |
| Find all providers in zip 71373 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751520 | Matthew Ford | Emergency Medical Technician, Basic | 6601 Milne Blvd, New Orleans, LA 70124-2222 | 2020-05-11 |
| 1043852122 | Michelle Leanne Jeane | Emergency Medical Technician, Basic | 7439 Shreveport Hwy, Leesville, LA 71446-6103 | 2019-10-10 |
| 1477997641 | Latasha Tonshay Richmond | Emergency Medical Technician, Basic | 1303 Oriole Ave, Ruston, LA 71270-6227 | 2013-04-18 |
| 1487992319 | Tulane Emergency Medical Services | Emergency Medical Technician, Basic | 6823 St Charles Avenue, Student Health Center Building 92, New Orleans, LA 70118 | 2013-01-28 |
| 1366719056 | Carl Hilton Williams | Emergency Medical Technician, Basic | 1957 N Ardenwood Dr, Apt 6072, Baton Rouge, LA 70806-1632 | 2011-11-23 |
| 1427282748 | Randel Andrew Patty | Emergency Medical Technician, Basic | 17931 Shoal Creek Dr, Baton Rouge, LA 70810-7905 | 2009-05-14 |
| 1396916680 | Marcus Jevon Fulton | Emergency Medical Technician, Basic | 964 Winter Garden Dr Unit 1, Shreveport, LA 71107-3129 | 2008-03-14 |
| 1215112917 | Home Town Doctors | Emergency Medical Technician, Basic | 5417 Jackson Street Ext, Suite B, Alexandria, LA 71303-2322 | 2008-01-02 |
| 1609880590 | Scott Pavur | Emergency Medical Technician, Basic | 5885 Lavey Ln, Suite 96, Baker, LA 70714-4280 | 2006-07-28 |
| 1437699840 | Likia Leblanc | Emergency Medical Technician, Basic | 209 N Main St, Opelousas, LA 70570-6256 | 2017-03-03 |
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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.