JORGE DAGOBERTO MELARA (NPI# 1518224427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518224427 |
Entity Type | Individual |
Full Name | JORGE DAGOBERTO MELARA |
Credential | M.D., M.P.H. |
Practice Address |
2170 Gause Blvd W Suite 101 Slidell LA 70460-4127 |
Mailing Address |
2513 Taffy Dr Kenner LA 70065-3822 |
Practice Telephone | 9853268283 |
Mailing Telephone | 5046060383 |
Enumeration Date | 2012-04-16 |
Last Update Date | 2016-04-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | MD.208225 | LA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
2170 GAUSE BLVD W SUITE 101 |
City | SLIDELL |
State | LA |
Zip Code | 70460-4127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538531561 | Rapid Urgent Care, Inc | Clinic/Center | 2170 Gause Blvd W, Suite 101, Slidell, LA 70460-4127 | 2015-10-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
1336600758 | Alex Duc Pham | Student in an Organized Health Care Education/Training Program | 210 Tiara Dr., Slidell, LA 70460 | 2019-03-28 |
1992163851 | Teem Economic Research & Business Community Development, Inc. | Case Management | 36190 Hwy 433, Slidell, LA 70460 | 2016-02-08 |
1548607674 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 2170 Gause Boulevard, Suite 133, Slidell, LA 70460 | 2013-05-30 |
1164764478 | Carrie Dale Howard | Speech-Language Pathologist | 305 Royal Drive, Slidell, LA 70460 | 2013-03-25 |
1427326446 | M L D Institute of Louisiana, LLC | Clinic/Center | 1274 Saint Tammany Ave, Slidell, LA 70460 | 2011-12-05 |
1497039069 | Royalty Home Care Service | Home Health | 328 Queen Anne Dr, Slidell, LA 70460 | 2011-09-30 |
1154616134 | James Sibley Holmes | Obstetrics & Gynecology | 107 Mary Ellen Dr, Slidell, LA 70460 | 2011-06-17 |
1700175734 | Timothy James Moten | Pharmacist | 114 Gause, Slidell, LA 70460 | 2011-03-30 |
1205064599 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 2104 Highway 190 W, Slidell, LA 70460 | 2009-06-25 |
Find all providers in zip 70460 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487744645 | Paul Russell Hastings I | Surgery | 1108 Crystal Ct, Slidell, LA 70461-5092 | 2006-10-16 |
1831150432 | Gary Joel Wolf | Surgery | 2750 E. Gause Blvd, Slidell, LA 70461 | 2006-03-31 |
1144211632 | Heather Rae Bronaugh | Surgery | 1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 | 2005-11-02 |
1851679849 | Diana L. Gillmore, M.d.,l.l.c. | Surgery | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-07-26 |
1952566408 | Cary Franklin Gray, Md, Apmc | Surgery | 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 | 2008-07-24 |
1578723599 | Asahel L Gridley | Surgery | 1850 Gause Blvd E, Suite 202, Slidell, LA 70461-5442 | 2008-06-12 |
1144404534 | Natalia B Hannan | Surgery | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2007-12-21 |
1215127824 | Heather Bronaugh, Md, LLC | Surgery | 1051 Gause Blvd Ste 260, Slidell, LA 70458-2992 | 2007-07-30 |
1033320452 | Francis J Petitto IIi | Surgery | 1051 Gause Blvd Ste 410, Slidell, LA 70458-2995 | 2007-05-25 |
1093845687 | Robert V Shafor, Md | Surgery | 1051 Gause Blvd, Suite 260, Slidell, LA 70458-2951 | 2007-03-06 |
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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.