DEREK MIMELES (NPI# 1477597490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477597490 |
| Entity Type | Individual |
| Full Name | DEREK MIMELES |
| Credential | MD |
| Practice Address |
3510 N Causeway Blvd Ste 404 Metairie LA 70002-3531 |
| Mailing Address |
744 W Michigan Ave Jackson MI 49201-1909 |
| Practice Telephone | 5047795568 |
| Mailing Telephone | 5177876440 |
| Mailing Fax Number | 5177876440 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10645R | Other Service Providers |
| Street Address |
3510 N CAUSEWAY BLVD STE 404 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760424956 | Luis Yumet | Specialist | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-06-12 |
| 1124317920 | Dave J Desoto | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2011-04-01 |
| 1336331180 | Melanie Distefano Ditta | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2007-08-15 |
| 1306878087 | Louis Levin | Specialist | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-06 |
| 1750312336 | Christopher Michael Dunn | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-05 |
| 1669403242 | Stephen Lawrence Beaumont | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-05 |
| 1578594156 | Susan E. David | Specialist | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-05 |
| 1750312278 | Susan Beth Carey | Specialist | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-05 |
| 1669403184 | Thomas Goldenberg | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-05 |
| 1467483040 | Thomas Brandt | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd Ste 404, Metairie, LA 70002-3531 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710480736 | Schnell Surgical Services LLC. | Specialist | 3117 Saint Rene St, Metairie, LA 70001-4137 | 2018-03-15 |
| 1104341544 | Jencare Neighborhood Medical Metairie, LLC | Specialist | 3530 Houma Boulevard, Jencare Neighborhood Medical Metairie #2, Metairie, LA 70006 | 2017-08-07 |
| 1699148882 | Bopp Dermatology and Facial Plastic Surgery | Specialist | 3421 N Causeway Blvd 102, Metairie, LA 70002 | 2015-11-10 |
| 1083012280 | Gregory Patrick Casey | Specialist | 2325 N Hullen St Ste 101, Metairie, LA 70001-6915 | 2014-12-21 |
| 1477957504 | Gno Snoring and Sinus, LLC | Specialist | 4224 Houma Blvd Ste 205, Metairie, LA 70006-2935 | 2014-10-17 |
| 1447511282 | Naz, LLC | Specialist | 2909 Kingman St, Metairie, LA 70006-6615 | 2012-06-07 |
| 1124398672 | Rebecca Scallan | Specialist | 1300 Clearview Pkwy, Metairie, LA 70001-3422 | 2011-12-30 |
| 1437428323 | Rachele Kelley Radelat | Specialist | 4900 Gregoire St, Metairie, LA 70006-1233 | 2011-12-21 |
| 1205118056 | Keri Lynn Jollands | Specialist | 1521 Hackberry Ave, Metairie, LA 70001-3317 | 2011-09-16 |
| 1598055279 | Karen Loze Mahl | Specialist | 1401 Apple St, Metairie, LA 70001-3358 | 2011-04-14 |
| Find all providers in METAIRIE | ||||
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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.