LSU MEDICAL CENTER CLINICS (NPI# 1417135237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417135237 |
| Entity Type | Organization |
| Organization Name | LSU MEDICAL CENTER CLINICS |
| Practice Address |
1900 Gravier St Room 6b21 New Orleans LA 70112-2262 |
| Practice Telephone | 5045684250 |
| Practice Fax Number | 5045684249 |
| Mailing Telephone | 5045684250 |
| Mailing Fax Number | 5045684249 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2011-05-02 |
| Authorized Official Name | ELIZABETH G LEVITZKY (ASSISTANT TO THE DEAN) |
| Authorized Official Telephone | 5045684250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831366459 | Lsu Medical Center Clinics | Clinic/Center | 1900 Gravier St, Billing Office - 6th Floor, New Orleans, LA 70112-2262 | 2008-05-13 |
| Street Address |
1900 GRAVIER ST ROOM 6B21 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386717569 | Donna Broussard | Counselor | 1900 Gravier St, 6th Floor, New Orleans, LA 70112-2262 | 2006-11-16 |
| 1427661479 | Zachary Amie | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-28 |
| 1780296251 | Kayla Clark | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-17 |
| 1770194490 | Jessica Jordan | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-14 |
| 1255942942 | Katherine Townsend | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-14 |
| 1861003139 | Olivia Breeland | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-11 |
| 1063023455 | Claire Battle Haydel | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-11 |
| 1992316434 | Maggie Nguyen | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-10 |
| 1538770078 | Cody Mcsparrin | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-10 |
| 1649881129 | Christopher Michael Danner | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738511 | Attentive Residences | Clinic/Center | 31 Curtis Dr, New Orleans, LA 70126-1660 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619532603 | High Five Speech Therapy, LLC | Clinic/Center | 14427 Market North Dr, Baton Rouge, LA 70810-3639 | 2019-05-05 |
| 1588147045 | Esit, LLC | Clinic/Center | 7505 Pines Rd Ste 1200e, Shreveport, LA 71129-3935 | 2018-09-11 |
| 1568972396 | Greater Grace Charter Academy Inc | Clinic/Center | 21490b Highway 20, Vacherie, LA 70090-3614 | 2017-10-06 |
| 1851632699 | St. Nicholas Center for Children | Clinic/Center | 314 Broad St Ste B, Lake Charles, LA 70601-4224 | 2013-03-04 |
| 1003174830 | Neurological Rehabilitation Living Centers of Louisiana | Clinic/Center | 614 W 18th Ave, Covington, LA 70433-3063 | 2012-04-30 |
| 1982983870 | Therapy Center of Acadiana | Clinic/Center | 300 Park West Drive, Suite A, Scott, LA 70583 | 2011-08-09 |
| 1023151677 | Assoc for Retarded Citizens Ouachita | Clinic/Center | 901 N 4th St, Monroe, LA 71201-5909 | 2007-02-14 |
| 1801867833 | Pediatric Therapy Center | Clinic/Center | 1300 Jackson St, Alexandria, LA 71301-6929 | 2006-01-28 |
| 1902889991 | Beauregard Arc | Clinic/Center | 1209 W Shirley St, Deridder, LA 70634 | 2005-11-22 |
| 1508252834 | Amian Care Services, LLC | Clinic/Center | 1454 Surrey St., Lafayette, LA 70501 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.