MIGUEL ANTONIO MURILLO (NPI# 1528312410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528312410 |
| Entity Type | Individual |
| Full Name | MIGUEL ANTONIO MURILLO |
| Credential | IDC |
| Practice Address |
424 Blossom St Terrytown LA 70056-2766 |
| Practice Telephone | 5044189993 |
| Mailing Telephone | 5044189993 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
424 BLOSSOM ST |
| City | TERRYTOWN |
| State | LA |
| Zip Code | 70056-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023553815 | Tedrick Grayson | Military Health Care Provider | 152 Toston Rd, West Monroe, LA 71292-2235 | 2017-01-03 |
| 1427454693 | Rena Caraway | Military Health Care Provider | 3714 Earhart Blvd, Unit B, New Orleans, LA 70125-1418 | 2014-11-14 |
| 1942270061 | Ronald Dailey | Military Health Care Provider | 400 Russell Ave, New Orleans, LA 70143-5077 | 2006-01-23 |
| 1336129659 | Eric Earl Cousin | Military Health Care Provider | 123 Intrepid Dr, Belle Chasse, LA 70037-1358 | 2006-01-20 |
| 1740687367 | Emilia Anangfac | Military Health Care Provider | 1790 Saturn St, New Orleans, LA 70129-2270 | 2014-11-25 |
| 1669879672 | Shelby Valora Cooper | Military Health Care Provider | 1790 Saturn Blvd, Uscg Medical Clinic, New Orleans, LA 70129 | 2014-11-20 |
| 1205232485 | Antonio Deon Cole | Military Health Care Provider | 1790 Saturn St, New Orleans, LA 70129-2270 | 2014-11-14 |
| 1851595219 | Garry Vincent Tossing | Military Health Care Provider | 4400 Dauphine St Bldg 601, New Orleans, LA 70146-0001 | 2007-06-12 |
| 1881664910 | Wendell Reese Bates | Military Health Care Provider | 400 Russell Ave, New Orleans, LA 70143-5077 | 2006-01-23 |
Please comment or provide details below to improve the information on MIGUEL ANTONIO MURILLO.
| 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.