DR. JEFFERY RYAN GRIZZAFFI (NPI# 1508000381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508000381 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY RYAN GRIZZAFFI |
| Credential | D.P.M. |
| Practice Address |
601 W Saint Mary Blvd Ste.106 Lafayette LA 70506-3568 |
| Practice Telephone | 3372323576 |
| Practice Fax Number | 3372332816 |
| Mailing Telephone | 3372323576 |
| Mailing Fax Number | 3372332816 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM200025 | LA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
601 W SAINT MARY BLVD STE.106 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-3568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811997075 | James R. Redmond Sr. | Physician Assistant | 601 W Saint Mary Blvd, Ste 308, Lafayette, LA 70506-3568 | 2005-07-28 |
| 1225372220 | Joseph Horton M.d., LLC | Radiology | 601 W Saint Mary Blvd, Suite306, Lafayette, LA 70506-3568 | 2012-11-15 |
| 1215200910 | Alicia Ann Morgan | Technician | 601 W Saint Mary Blvd, Suite 308, Lafayette, LA 70506-3568 | 2012-02-12 |
| 1619257391 | Lafayette Health Ventures, Inc. | Internal Medicine | 601 W Saint Mary Blvd, Suite 403, Lafayette, LA 70506-3568 | 2011-08-25 |
| 1144522442 | Bradley R Dowden Md Apmc | Internal Medicine | 601 W Saint Mary Blvd, Suite 210, Lafayette, LA 70506-3568 | 2010-11-19 |
| 1699083261 | Michael Berard, Ph.d., M.p., A Professional Psychology Corporation | Psychologist | 601 W Saint Mary Blvd, Suite 406, Lafayette, LA 70506-3568 | 2010-09-16 |
| 1992972509 | Lourdes Imaging Center LLC | Radiology | 601 W Saint Mary Blvd, Suite 104, Lafayette, LA 70506-3568 | 2008-05-13 |
| 1659547537 | Eugene T Stueben Md Inc | Specialist | 601 W Saint Mary Blvd, Suite 310, Lafayette, LA 70506-3568 | 2008-05-01 |
| 1164604609 | Jennifer R. Vines Lcsw Inc | Social Worker | 601 W Saint Mary Blvd, Suite 400, Lafayette, LA 70506-3568 | 2007-11-27 |
| 1386833424 | Dr. Karen Smiths Office LLC | Internal Medicine | 601 W Saint Mary Blvd, Suite 403, Lafayette, LA 70506-3568 | 2007-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457773863 | Edugie Valentine Omoregbee | Podiatrist | 203 W Brentwood Blvd Ste 2, Lafayette, LA 70506-6190 | 2014-01-20 |
| 1730498437 | Noah Gene Oliver | Podiatrist | 127 Rue Louis Xiv Ste 101, Lafayette, LA 70508-5738 | 2010-09-28 |
| 1962538678 | James A Noriega Jr. | Podiatrist | 203 W Brentwood Blvd, Ste 2, Lafayette, LA 70506-6190 | 2007-02-26 |
| 1063868396 | Andrew Meyer | Podiatrist | 2020 Union St Ste 100, Lafayette, IN 47904-2694 | 2016-05-05 |
| 1942450895 | Marc S Eustaquio | Podiatrist | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2008-09-29 |
| 1639205388 | Acadiana Foot Centers LLC | Podiatrist | 203 W Brentwood Blvd, Ste 2, Lafayette, LA 70506-6190 | 2007-02-26 |
| 1427193796 | Lafayette Podiatry Associates, P.C. | Podiatrist | 2020 Union St Ste 100, Lafayette, IN 47904-2694 | 2007-02-21 |
| 1437128410 | James P Hoover | Podiatrist | 2020 Union St, Suite 100, Lafayette, IN 47904-3432 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1437780939 | Louisiana Foot and Ankle Surgeons, LLC | Podiatrist | 401 Veterans Blvd Ste 207, Metairie, LA 70005-2957 | 2020-02-03 |
| 1326682089 | Center for Orthopaedics and Spine LLC | Podiatrist | 250 Beglis Pkwy Ste 1, Sulphur, LA 70663-3503 | 2019-11-05 |
| 1275063703 | Dr Rene J Hymel Dpm LLC | Podiatrist | 2101 Robin Ave Ste 11, Hammond, LA 70403-5773 | 2017-06-18 |
| 1205369840 | Christian Antonio Valle | Podiatrist | 3601 Desiard St, Monroe, LA 71203-4352 | 2017-04-11 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1497141311 | Pelican State Foot & Ankle Care LLC | Podiatrist | 1938 Jackson St, Alexandria, LA 71301-6437 | 2015-04-07 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| 1245503119 | Gentry Haughton LLC | Podiatrist | 600 Unadilla St, Shreveport, LA 71106-1242 | 2012-02-22 |
| 1588835557 | Garber Foot & Ankle Clinic | Podiatrist | 651 S Ryan St, Lake Charles, LA 70601-5726 | 2008-03-18 |
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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.