WEST JEFFERSON PHYSICIAN SERVICES (NPI# 1457426439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457426439 |
| Entity Type | Organization |
| Organization Name | WEST JEFFERSON PHYSICIAN SERVICES |
| Other Organization Name | FAMILY DOCTORS |
| Practice Address |
175 Hector Ave Gretna LA 70056-2590 |
| Practice Telephone | 5043496925 |
| Practice Fax Number | 5043615310 |
| Mailing Telephone | 5043496925 |
| Mailing Fax Number | 5043615310 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HEIDI A GWINN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5043491297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1942545 | 05 |
| Other Name | Type Code |
|---|---|
| Family Doctors | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780015784 | West Jefferson Physician Services | Nutritionist | 1121 Medical Center Blvd., West Jefferson Fitness Center, Marrero, LA 70072 | 2013-12-02 |
| 1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
| 1669549283 | West Jefferson Physician Services | Pediatrics | 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 | 2006-11-29 |
| 1790850774 | West Jefferson Physician Services | Family Medicine | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2006-11-22 |
| 1053486043 | West Jefferson Physician Services | Internal Medicine | 1111 Medical Center Blvd, Suite S850, Marrero, LA 70072-3151 | 2006-11-22 |
| 1114092194 | West Jefferson Physician Services | Internal Medicine | 2845 Manhattan Blvd, Harvey, LA 70058-2987 | 2006-11-22 |
| Street Address |
175 HECTOR AVE |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740276229 | Ralph F Cameron | Internal Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2005-09-21 |
| 1205233210 | Abby S Leblanc | Nurse Practitioner | 175 Hector Ave, Gretna, LA 70056-2590 | 2014-11-20 |
| 1730354630 | Lakisah Bastian | Internal Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2008-04-23 |
| 1750554945 | Leslie Maria Faulkner | Nurse Practitioner | 175 Hector Ave, Gretna, LA 70056-2590 | 2008-04-08 |
| 1528110038 | Patricia G Wright | Internal Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2007-01-17 |
| 1114983665 | Leah Bowers | Nurse Practitioner | 175 Hector Ave, Gretna, LA 70056-2590 | 2006-04-25 |
| 1376539551 | Christopher L Richards | Family Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2005-09-23 |
| 1285620773 | Bertha H Daniels | Family Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2005-09-21 |
| 1598751919 | Daniel C Lucio | Internal Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255899936 | Deluxe Medical Corporation | Family Medicine | 3640 Lake Aspen Dr W, Gretna, LA 70056-8303 | 2019-03-12 |
| 1952747602 | Jefferson Medical Clinic LLC | Family Medicine | 435 Lapalco Blvd Ste 1, Gretna, LA 70056-7375 | 2013-05-21 |
| 1306080361 | Ngoc-thuy Thi Bui | Family Medicine | 435 Lapalco Blvd, Suite 1, Gretna, LA 70056-7375 | 2009-04-21 |
| 1336324573 | G A Romaguera Md LLC | Family Medicine | 316 Lafayette St., Gretna, LA 70053 | 2008-01-07 |
| 1821122342 | John Craig Cornett | Family Medicine | 1125 Newton St, Gretna, LA 70053-6339 | 2007-03-15 |
| 1104964758 | Janice S. Glenn, M.d. Ampc | Family Medicine | 2600 Belle Chasse Highway Ste 201a, Gretna, LA 70056-7156 | 2007-02-02 |
| 1831296102 | The Wellness Place PC | Family Medicine | 818 Village Sq., Gretna, NE 68028-7914 | 2006-09-20 |
| 1770691826 | Gerard A Romaguera | Family Medicine | 316 Lafayette St, Gretna, LA 70053 | 2006-08-28 |
| 1518916683 | Rafael A Cortes-moran | Family Medicine | 441 Wall Blvd., Gretna, LA 70056-7723 | 2006-05-08 |
| 1346207750 | Rufus Randolph Duffer | Family Medicine | 107 Henry St, Gretna, VA 24557-4177 | 2006-04-28 |
| Find all providers in GRETNA | ||||
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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.