J.K.S. PEDIATRICS, LLC (NPI# 1528133055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528133055 |
| Entity Type | Organization |
| Organization Name | J.K.S. PEDIATRICS, LLC |
| Practice Address |
740 Keyser Ave Suite A-3 Natchitoches LA 71457-6037 |
| Practice Telephone | 3182385040 |
| Practice Fax Number | 3183578842 |
| Mailing Telephone | 3182385040 |
| Mailing Fax Number | 3183578842 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | JORGE W BLACK (OWNER) |
| Authorized Official Telephone | 3182385040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 201180 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | ECFMG | 05856513 | 01 |
| Street Address |
740 KEYSER AVE SUITE A-3 |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457-6037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215984547 | Oluwatoyin Funmilayo Olatinwo | Internal Medicine | 740 Keyser Ave, Suite F, Natchitoches, LA 71457-6037 | 2006-05-30 |
| 1205434768 | Jacqueline Loche | Nurse Practitioner | 740 Keyser Ave, Natchitoches, LA 71457-6037 | 2020-10-15 |
| 1306233572 | Nrmc Walk-in Clinic Ventures, LLC | Nurse Practitioner | 740 Keyser Ave, Suite E, Natchitoches, LA 71457-6037 | 2015-04-24 |
| 1821414897 | Natchitoches Parish Hospital Service District | Clinic/Center | 740 Keyser Ave, Suite E, Natchitoches, LA 71457-6037 | 2014-03-13 |
| 1114223229 | Luke Andrew Storrs | Physical Therapist | 740 Keyser Ave, Suite E, Natchitoches, LA 71457-6037 | 2011-02-07 |
| 1871809715 | Alexandria Vamc | Clinic/Center | 740 Keyser Ave, Natchitoches, LA 71457-6037 | 2010-08-30 |
| 1073833240 | Lifecare Clinic, LLC | Internal Medicine | 740 Keyser Ave, Suite F, Natchitoches, LA 71457-6037 | 2010-06-10 |
| 1104140565 | Prism II, LLC | Occupational Therapist | 740 Keyser Ave, Natchitoches, LA 71457-6037 | 2010-03-15 |
| 1023276557 | Jennifer Barrow | Occupational Therapist | 740 Keyser Ave, Suite E, Natchitoches, LA 71457-6037 | 2008-05-31 |
| 1962574111 | Bryan A Picou Et Al Ptr | Family Medicine | 740 Keyser Ave, Suite A, Natchitoches, LA 71457-6037 | 2006-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629023064 | Olusegun Adedamola Adeleye | Pediatrics | 405 Bienville St, Natchitoches, LA 71457-5748 | 2006-05-24 |
| 1760463392 | Brett C Rodriguez | Pediatrics | 1055 Parkway Dr, Suite A, Natchitoches, LA 71457-6276 | 2005-11-10 |
| 1538150263 | Ovayoza I Adeleye | Pediatrics | 117 South Dr, Natchitoches, LA 71457-5039 | 2005-11-02 |
| 1881036002 | Natchitoches Pediatric Associates | Pediatrics | 617 Bienville St, Natchitoches, LA 71457-5730 | 2013-07-30 |
| 1538409453 | Natchitoches Parish Hospital Service District | Pediatrics | 617 Bienville St, Natchitoches, LA 71457-5730 | 2013-03-01 |
| 1760545867 | Shalom Clinic for Children Apmc | Pediatrics | 405 Bienville St, Natchitoches, LA 71457-5748 | 2006-12-19 |
| 1740261379 | Christa J P Rodriguez | Pediatrics | 1055 Parkway Dr, Suite A, Natchitoches, LA 71457-6276 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182968 | Can Do Kids Pediatric Therapy Services | Pediatrics | 613 Simpson St, Benton, LA 71006-8314 | 2020-07-23 |
| 1205454774 | Jackson Street Pediatrics, LLC | Pediatrics | 5716 Jackson St, Alexandria, LA 71303-2042 | 2020-07-10 |
| 1689290603 | Impact Physician Group, Pediatrics LLC | Pediatrics | 2720 Rue De Jardin Ste 100, Lake Charles, LA 70605-4050 | 2020-06-25 |
| 1609334390 | Southside Pediatrics. A.p.m.c. | Pediatrics | 811 Albertson Pkwy Ste A, Broussard, LA 70518-5256 | 2019-03-12 |
| 1336632728 | Megan Michel Rabalais | Pediatrics | 7777 Hennessy Blvd # 6004, Baton Rouge, LA 70808-4300 | 2018-06-11 |
| 1902393648 | Morehouse Community Medical Centers, Inc | Pediatrics | 1825 N 18th St Ste A&b, Monroe, LA 71201-4420 | 2018-04-18 |
| 1508380197 | Hospital Service District 1 of East Baton Rouge Parish | Pediatrics | 6110 Main St Ste B, Zachary, LA 70791-4079 | 2017-07-26 |
| 1457873572 | All Hours Pediatrics | Pediatrics | 2645 Oneal Ln Bldg C-a, Baton Rouge, LA 70816-3179 | 2017-07-11 |
| 1881122778 | Uchechukwu Ray Eke | Pediatrics | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2017-05-23 |
| 1679007298 | Melissa Holland | Pediatrics | 8415 Goodwood Blvd Ste 100, Baton Rouge, LA 70806-7851 | 2017-04-20 |
| Find all providers with the same taxonomy | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
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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.