ANTHONY MICHEAL PEPERONE (NPI# 1477103240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477103240 |
| Entity Type | Individual |
| Full Name | ANTHONY MICHEAL PEPERONE |
| Credential | APRN |
| Practice Address |
4430 Highway 22 Ste B Mandeville LA 70471-3310 |
| Practice Telephone | 9856263470 |
| Practice Fax Number | 9856745377 |
| Mailing Telephone | 9856263470 |
| Mailing Fax Number | 9856745377 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
304496 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750508586 | Anthony J Peperone Jr. | Pharmacist | 517 Place St. Laurent, Convington, LA 70433 | 2007-04-20 |
| Street Address |
4430 HIGHWAY 22 STE B |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811253420 | Mohammad Imran Naeem | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471 | 2012-04-09 |
| 1841781911 | Redi-med Psychiatry | Psychiatry & Neurology | 4430 Highway 22 Ste B, Mandeville, LA 70471-3310 | 2018-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619119567 | Nicholas Fluitt | Psychiatry & Neurology | 111 N Causeway Blvd Ste 222, Mandeville, LA 70448 | 2009-03-24 |
| 1538269683 | Roger Timothy Brown | Psychiatry & Neurology | 635 Lafitte St Ste B, Mandeville, LA 70448-5269 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225477235 | Angela K. Jubert | Psychiatry & Neurology | 5620 Read Blvd Fl 5, New Orleans, LA 70127-3106 | 2013-06-24 |
| 1699781591 | Brian D Monette | Psychiatry & Neurology | 1112 E Ascension Complex Ave., Gonzales, LA 70737 | 2006-07-31 |
| 1679501712 | Anwar Ismail | Psychiatry & Neurology | 4113 Williams Blvd., Kenner, LA 70065 | 2006-06-29 |
| 1730186750 | Alphonse Kenison Roy IIi | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2005-07-05 |
| 1730660176 | Epiphany Healthcare System, Inc | Psychiatry & Neurology | 906 C M Fagan Dr Bldg A, Suite 6a, Hammond, LA 70403 | 2018-08-23 |
| 1104280825 | Jerrell Mitchell | Psychiatry & Neurology | 1542 Tulane Ave, New Orleans, LA 70112-2865 | 2016-04-08 |
| 1790129617 | Narissa Etwaroo | Psychiatry & Neurology | 1501 Kings Hwy, Psychiatry, Shreveport, LA 71103 | 2013-04-22 |
| 1306020698 | Biobehavioral Medicine Company, LLC | Psychiatry & Neurology | 4933 Wabash St, Metairie, LA 70001-1031 | 2007-12-21 |
| 1811018955 | Ronald Schneider | Psychiatry & Neurology | 1501 Kings Hwy, Dept. of Psychiatry, Shreveport, LA 71103-4228 | 2007-04-03 |
| 1316005853 | Indira Mohan Kailas | Psychiatry & Neurology | 5001 Westbank Expressway, Marrero, LA 70072 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on ANTHONY MICHEAL PEPERONE.
| 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.