CLAYTON F RUNFALO (NPI# 1477895225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477895225 |
| Entity Type | Individual |
| Full Name | CLAYTON F RUNFALO |
| Credential | MD |
| Practice Address |
1702 N Burnside Ave Ste A Gonzales LA 70737 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2257655500 |
| Practice Fax Number | 2256472322 |
| Mailing Telephone | 2255260011 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.208123 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7479 Perkins Rd, Baton Rouge, LA 70808 | 2252469997 | 2252469116 |
| 7373 Perkins Rd, Baton Rouge, LA 708084326 | 2252469997 |
| Street Address |
1702 N BURNSIDE AVE STE A |
| City | GONZALES |
| State | LA |
| Zip Code | 70737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| 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 |
|---|---|---|---|---|
| 1467825240 | Jeffrey Delaune | Family Medicine | 12320-1 La Hwy. 44, Gonzales, LA 70737 | 2015-11-03 |
| 1437549284 | Salinas Valley Memorial Health Care System | Family Medicine | 850 Fifth Street, Gonzales, CA 93926 | 2015-02-02 |
| 1174768816 | Alberto Martinez | Family Medicine | 850 Fifth St, Gonzales, CA 93926 | 2008-12-09 |
| 1861646739 | Southern Medical Associates | Family Medicine | 2524 S. Philippe Avenue, Gonzales, LA 70737 | 2008-11-05 |
| 1467519678 | Richard J. Caro | Family Medicine | 2304 S. Burnside Ave., Ste 2, Gonzales, LA 70737 | 2007-01-03 |
| 1306899067 | Our Lady of Lake Ascension, LLC | Family Medicine | 2647 S St. Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5021 | 2006-05-17 |
| 1285636647 | Garth O Vaz | Family Medicine | 1103 N Sarah Dewitt Dr, 1103 N. Sahah Dewitt Drive, Gonzales, TX 78629-3311 | 2005-08-15 |
| 1184626871 | Roland A Medellin | Family Medicine | 228 Saint George St, Gonzales, TX 78629-3910 | 2005-08-11 |
| 1043218886 | John F. Fraiche | Family Medicine | 2647 S Riverview Blvd, Gonzales, LA 70737-5021 | 2005-07-13 |
| 1306844147 | Shawn Hall | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2005-07-13 |
| Find all providers in GONZALES | ||||
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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.