RUSTON CLINIC COMPANY LLC (NPI# 1457404543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457404543 |
| Entity Type | Organization |
| Organization Name | RUSTON CLINIC COMPANY LLC |
| Other Organization Name | OBGYN ASSOCIATES OF RUSTON |
| Practice Address |
411 E Vaughn Ave Suite 205 Ruston LA 71270-5972 |
| Practice Telephone | 3185139661 |
| Practice Fax Number | 3185131476 |
| Mailing Telephone | 3185139661 |
| Mailing Fax Number | 3185131476 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-01-21 |
| Authorized Official Name | DEBBIE T BREWER (DIRECTOR OF PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6154657626 |
| Is Organization Subpart | Y |
| Parent Organization Name | RUSTON CLINIC COMPANY LLC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | LA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OBGYN Associates of Ruston | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619116266 | Ruston Clinic Company LLC | Pediatrics | 1003 White St, Ruston, LA 71270-5936 | 2009-02-05 |
| 1861653305 | Ruston Clinic Company LLC | Ophthalmology | 401 E Vaughn Ave, Suite 206, Ruston, LA 71270-5950 | 2008-06-18 |
| 1336292432 | Ruston Clinic Company LLC | Surgery | 401 E Vaughn Ave, Ruston, LA 71270-5950 | 2007-01-19 |
| Street Address |
411 E VAUGHN AVE SUITE 205 |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783322 | Landon Craig Smith | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 103, Ruston, LA 71270-5972 | 2005-07-08 |
| 1467647396 | Glenn Figueroa Md Apmc | Internal Medicine | 411 E Vaughn Ave, Suite 101, Ruston, LA 71270-5972 | 2007-09-13 |
| 1437340684 | Seasons Medical Aesthetics | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 201, Ruston, LA 71270-5972 | 2007-08-05 |
| 1932329240 | Ruston Clinic Company, LLC | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 103, Ruston, LA 71270-5972 | 2007-04-27 |
| 1962629212 | Dr Allen J Herbert A Medical Corp | Family Medicine | 411 E Vaughn Ave, Suite 203, Ruston, LA 71270-5972 | 2007-04-19 |
| 1588795405 | Jennifer W Banks | Nurse Practitioner | 411 E Vaughn Ave, Suite 202, Ruston, LA 71270-5972 | 2007-03-09 |
| 1437281367 | Pelvic Health and Menopause Center LLC | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 201, Ruston, LA 71270-5972 | 2007-03-09 |
| 1972657757 | Ruston Clinic Company, LLC | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 201, Ruston, LA 71270-5972 | 2007-01-22 |
| 1992741854 | Lgh Ob-gyn Clinic | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 205, Ruston, LA 71270-5972 | 2006-06-21 |
| 1629016191 | Lgh Surgical Clinic | Surgery | 411 E Vaughn Ave, Suite 200, Ruston, LA 71270-5972 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013013408 | Lgh Ob-gyn Clinic 2 | Obstetrics & Gynecology | 411 East Vaughn Ave., Suite 201, Ruston, LA 71270 | 2006-09-15 |
| 1790783322 | Landon Craig Smith | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 103, Ruston, LA 71270-5972 | 2005-07-08 |
| 1962822965 | Lise M Huddleston | Obstetrics & Gynecology | 1200 S Farmerville St, Ruston, LA 71270 | 2014-04-17 |
| 1437340684 | Seasons Medical Aesthetics | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 201, Ruston, LA 71270-5972 | 2007-08-05 |
| 1972657757 | Ruston Clinic Company, LLC | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 201, Ruston, LA 71270-5972 | 2007-01-22 |
| 1992741854 | Lgh Ob-gyn Clinic | Obstetrics & Gynecology | 411 E Vaughn Ave, Suite 205, Ruston, LA 71270-5972 | 2006-06-21 |
| 1154391605 | Robert Harper | Obstetrics & Gynecology | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-26 |
| 1467422295 | James R Mcwhorter | Obstetrics & Gynecology | 1200 S Farmerville St, Ruston, LA 71270-5941 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420217 | Phoenix Medical Healthcare Center, Inc | Obstetrics & Gynecology | 215 Everett St, Morgan City, LA 70380-3618 | 2020-09-04 |
| 1124645676 | Michelle R Stutes, Md Apm LLC | Obstetrics & Gynecology | 4630 Ambassador Caffery Pkwy Ste 412, Lafayette, LA 70508-6950 | 2020-07-01 |
| 1457995482 | Howard Stelly LLC | Obstetrics & Gynecology | 1920 W Sale Rd Ste 6, Lake Charles, LA 70605-2400 | 2019-11-02 |
| 1700431616 | Sarah Hess Ordoyne | Obstetrics & Gynecology | 4720 S I 10 Service Rd W Ste 502, Metairie, LA 70001-1243 | 2019-08-07 |
| 1265090179 | Lexus Louvier Martin | Obstetrics & Gynecology | 4150 Nelson Rd Bldg E, Lake Charles, LA 70605-4148 | 2019-06-05 |
| 1548729718 | Maggie Joyner Cahill | Obstetrics & Gynecology | 37066 Longwood Ave, Prairieville, LA 70769-3568 | 2019-03-18 |
| 1174015945 | Southern Obgyn LLC | Obstetrics & Gynecology | 155 Hospital Dr Ste 410, Lafayette, LA 70503-2852 | 2018-06-06 |
| 1215448840 | John Herbert Finnan Sr. | Obstetrics & Gynecology | 4701 Woodland Ave, Metairie, LA 70002-1361 | 2017-10-23 |
| 1336688464 | Well Womans Center of Louisiana | Obstetrics & Gynecology | 708 Jackson St, Monroe, LA 71201-8420 | 2017-02-22 |
| 1922540996 | Md In The Box, LLC | Obstetrics & Gynecology | 20165 Crystal Lake Dr, Hammond, LA 70403-0565 | 2016-11-08 |
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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.