MAMATHA ANANTH (NPI# 1467447185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467447185 |
| Entity Type | Individual |
| Full Name | MAMATHA ANANTH |
| Credential | MD |
| Practice Address |
433 Plaza St Ste 1a Bogalusa LA 70427-3729 |
| Mailing Address |
433 Plaza St Bogalusa LA 70427-3729 |
| Practice Telephone | 9857306970 |
| Practice Fax Number | 9857306398 |
| Mailing Telephone | 9857306970 |
| Mailing Fax Number | 9857306398 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD11747R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1797103 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 52579 Highway 51 S, Independence, LA 704432231 | 9858789421 | 9858781285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184821308 | Mamatha Swethadri Ananth | Internal Medicine | 6304 Mellow Twilight Ct, Columbia, MD 21044-4911 | 2007-06-29 |
| Street Address |
433 PLAZA ST STE 1A |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255447645 | Nancy Eaves | Nurse Practitioner | 433 Plaza St Ste 1a, Bogalusa, LA 70427-3729 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457554 | Anthony Jude Palazzo | Pediatrics | 405 Avenue F, Bogalusa, LA 70427-3633 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962970582 | Total Health Family Medicine | Pediatrics | 9435 Mansfield Rd Ste 5b, Shreveport, LA 71118-3859 | 2018-11-13 |
| 1558571893 | Sarah Elizabeth Wheat | Pediatrics | 2551 Greenwood Rd., Suite 310, Shreveport, LA 71103 | 2007-05-23 |
| 1992925614 | John E Daigre Jr. | Pediatrics | 315 N Demanade Blvd, Lafayette, LA 70503-2555 | 2007-04-26 |
| 1811017882 | Barry Stephen Bordenave | Pediatrics | 321 Overhill Dr, Lake Charles, LA 70605-6527 | 2007-03-30 |
| 1174691034 | Linda Ann Doughty White | Pediatrics | 4511 Downman Rd, New Orleans, LA 70126-3716 | 2006-11-30 |
| 1780763946 | Alfredo Oscar Lebron | Pediatrics | 3220 Kaliste Saloom Rd, Lafayette, LA 70508 | 2006-11-06 |
| 1316030851 | Stephanie Catherine Arnaud | Pediatrics | 515 Westbank Expressway, Suite 1, Gretna, LA 70053 | 2006-10-02 |
| 1306945399 | Cecily Joan Poree-turner | Pediatrics | 4052 Ulloa St, New Orleans, LA 70119-6834 | 2006-09-22 |
| 1952401705 | Child Health America Physician Group | Pediatrics | 3324 Florida Blvd, Baton Rouge, LA 70806 | 2006-09-22 |
| 1720195290 | Dana Angelle Fakouri | Pediatrics | 8040 Goodwood Blvd, Baton Rouge, LA 70806-7631 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
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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.