EXECUTIVE MEDICINE, LLC (NPI# 1467094268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467094268 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE MEDICINE, LLC |
| Practice Address |
701 Poydras St Ste 104 New Orleans LA 70139-7761 |
| Practice Telephone | 5043094600 |
| Practice Fax Number | 5049109200 |
| Mailing Telephone | 5043094600 |
| Mailing Fax Number | 5049109200 |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2019-10-13 |
| Authorized Official Name | PHILLIP L REED (OWNER) |
| Authorized Official Telephone | 5043094600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
701 POYDRAS ST STE 104 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70139-7761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1396991105 | Ernest A Wilbur | Eyewear Supplier (Equipment, not the service) | 701 Poydras St, Suite 117, New Orleans, LA 70139-6001 | 2008-08-12 |
| 1558731398 | Executive Medicine LLC | Family Medicine | 701 Poydras St, Suite 104, New Orleans, LA 70139-6001 | 2015-10-06 |
| 1003379124 | Ochsner Clinic LLC | Internal Medicine | 701 Poydras St Ste 107, New Orleans, LA 70139-7713 | 2019-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447222 | Caitlin Mcginn Seelie | Counselor | 1932 Audubon St, New Orleans, LA 70118-5516 | 2020-11-06 |
| 1871193540 | Dudley Paul Malveaux IIi | Driver | 3606 Desire Pkwy, New Orleans, LA 70126 | 2020-10-30 |
| 1760082952 | Jimani Blackwell Dds LLC | Clinic/Center | 8015 Maple St, New Orleans, LA 70118-2738 | 2020-10-28 |
| 1083213920 | Asiha Lewis | Non-emergency Medical Transport (VAN) | 4318 Paris Ave, New Orleans, LA 70122-2404 | 2020-10-21 |
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1144828203 | Nia Beasley | Dentist | 1312 Octavia St, New Orleans, LA 70115-4225 | 2020-10-12 |
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1558968859 | Lydia Gilchrist | Massage Therapist | 2436 Bristol Pl, New Orleans, LA 70131-3712 | 2020-10-08 |
| 1982201547 | Keiara Shermetra Cline | Case Manager/Care Coordinator | 1351 Burbank Dr, New Orleans, LA 70122-2031 | 2020-10-07 |
| Find all providers in NEW ORLEANS | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
| 1023436656 | Colin Devlin | Emergency Medicine | 5022 Laurel St, New Orleans, LA 70115-1729 | 2014-04-01 |
| 1205253366 | Randy Michael Sorge | Emergency Medicine | 2000 Canal St Fl D&t2, New Orleans, LA 70112 | 2014-03-26 |
| 1093130478 | Ronald Christopher Fenton | Emergency Medicine | 2000 Canal St Ste 2720, New Orleans, LA 70112 | 2014-02-21 |
| 1144562554 | Laura Elizabeth Roan | Emergency Medicine | 1542 Tulane Ave # T2m4, New Orleans, LA 70112 | 2013-03-23 |
| 1750640066 | Andre Baugh | Emergency Medicine | 7210 Arbor Dr, New Orleans, LA 70126-3023 | 2012-05-07 |
| 1851666150 | Brett Stockton Kathmann | Emergency Medicine | 2001 Tulane Ave, D&t 2nd Floor - Suite 2720, New Orleans, LA 70112-2249 | 2012-03-20 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70139 |
Please comment or provide details below to improve the information on EXECUTIVE MEDICINE, LLC.
| 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.