CENLA CRITICAL CARE ASSOCIATES


Address: 3330 Masonic Dr, Alexandria, LA 71301-3841
Phone: 3184486700

CENLA CRITICAL CARE ASSOCIATES (NPI# 1528016029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528016029
Entity Type Organization
Organization Name CENLA CRITICAL CARE ASSOCIATES
Practice Address 3330 Masonic Dr
Alexandria
LA 71301-3841
Mailing Address Po Box 791322
Baltimore
MD 21279-1322
Practice Telephone 3184486700
Mailing Telephone 8006552656
Mailing Fax Number 4128227411
Enumeration Date 2006-05-05
Last Update Date 2020-08-22
Authorized Official Name THOMAS G RAINEY (PRESIDENT)
Authorized Official Telephone 8006552656
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1445550 05

Office Location

Street Address 3330 MASONIC DR
City ALEXANDRIA
State LA
Zip Code 71301-3841

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548252760 Linda M Paul Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2005-08-16
1457981292 Elyse Leigh Poole Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2020-01-21
1457991671 Courtney Price Mansour Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2020-01-15
1396382560 Wilbur Eric Sharp Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-12-05
1225674427 Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. Internal Medicine 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-11-22
1699317321 Jacintha Nnadi Registered Nurse 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-10-15
1548810617 Catherine Cunningham Faucheaux Counselor 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-09-19
1366091829 Ashley Brazzell Registered Nurse 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-09-08
1972158152 Allison J Edwards Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-08-05
1548812829 Jennifer Marie Murphy Nurse Practitioner 3330 Masonic Dr, Alexandria, LA 71301-3841 2019-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689217457 Geaux Trans Transportation Non-emergency Medical Transport (VAN) 3101 Quail Court Apt A, Alexanadria, LA 71301 2019-10-23
1679115497 Emily Belgard Case Manager/Care Coordinator 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 2019-10-14
1316591878 Leronisha Murphey Technician 1300 Jackson Street, Alexandria, LA 71301 2019-08-01
1144782996 Ashley Billings Student in an Organized Health Care Education/Training Program 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 2019-04-02
1740753110 Maranda Trotti Voorhies Nurse Practitioner 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 2019-01-08
1326565359 Sheryl Ann Truman Registered Nurse 3224 Madonna Drive, Alexandria, LA 71301 2017-08-30
1770001620 Casey Holts Counselor 5760 Goodland Trace, Alexandria, LA 71301 2017-08-30
1942735956 Transforming Lives, Inc. Community/Behavioral Health 1428 Peterman Dr Ste A, Alexandria, LA 71301 2017-04-27
1790216703 Johnnetta Rutledge Counselor 39 Kent Ave, Alexandria, LA 71301 2017-03-22
1104367788 Clarissa Dione Pugh Counselor 23 Tennessee Ave, Alexandria, LA 71301 2017-03-15
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538684790 Feras Ibrahim Hawari Internal Medicine 4714 Minor Cir, Alexandria, VA 22312 2017-08-09
1053545152 Marlon Andre Medford Internal Medicine 211 4th St Ste 200, Alexandria, LA 71301-8421 2009-05-05
1134300148 Arshan Beyzaei Arani Internal Medicine Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 2007-11-19
1285707018 Karen E Johnson Internal Medicine 2000 North Beauregard St, Ste 360, Alexandria, VA 22311 2006-11-17
1336212141 Rashid Nayyar Internal Medicine 2000 North Beauregard St., Ste 360, Alexandria, VA 22311 2006-11-17
1538246236 Advanced Pulmonary Critical Care PC Internal Medicine 2000 Beauregard St, Ste 360, Alexandria, VA 22311 2006-11-01
1487653804 Stephanie J Blair Internal Medicine 211 4th St, Alexandria, LA 71301-8421 2005-07-18
1891210035 Commonwealth Critical Care LLC Internal Medicine 2501 Parkers Ln, Alexandria, VA 22306-3209 2017-08-09
1679017255 Progressive Critical Care Medicine, LLC Internal Medicine 4320 Seminary Rd, Alexandria, VA 22304-1535 2016-12-15
1841604931 Goutham Gudavalli Internal Medicine 211 4th St, Alexandria, LA 71301-8421 2014-06-17
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Competitor

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City ALEXANDRIA
Zip Code 71301

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Dataset Information

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.

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