MEDA K COLVIN (NPI# 1538104344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538104344 |
| Entity Type | Individual |
| Full Name | MEDA K COLVIN |
| Credential | MD |
| Practice Address |
1111 Medical Center Blvd Ste S-750 Marrero LA 70072 |
| Practice Telephone | 5043406976 |
| Practice Fax Number | 5043496786 |
| Mailing Telephone | 5043406976 |
| Mailing Fax Number | 5043496786 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 019520 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1976938 | 05 |
| Street Address |
1111 MEDICAL CENTER BLVD STE S-750 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657359 | West Jefferson Surgery Center, LLC | Clinic/Center | 1111 Medical Center Blvd, Ste 105n, Marrero, LA 70072-3152 | 2005-05-24 |
| 1972129211 | Marissa Liantonio Miller | Nurse Practitioner | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-06-23 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1841730918 | Samantha Schenker | Nurse Practitioner | 1111 Medical Center Blvd, N406, Marrero, LA 70072-3151 | 2017-03-08 |
| 1376092379 | Shelli Rodriguez Ergen | Nurse Practitioner | 1111 Medical Center Blvd, Suite South 113, Marrero, LA 70072-3151 | 2016-10-02 |
| 1326418443 | Cain Foot Center, LLC | Podiatrist | 1111 Medical Center Blvd, Suite N-313, Marrero, LA 70072-3151 | 2015-10-01 |
| 1235515693 | Joseph Guarnieri | Eyewear Supplier (Equipment, not the service) | 1111 Medical Center Blvd, Suite N-114, Marrero, LA 70072-3151 | 2015-08-07 |
| 1639552979 | Kelly Thibodeaux | Nurse Practitioner | 1111 Medical Center Blvd, 350s, Marrero, LA 70072-3151 | 2015-07-06 |
| 1629478409 | Ochsner Clinic LLC | General Practice | 1111 Medical Center Blvd, Suite 313n, Marrero, LA 70072-3151 | 2014-08-28 |
| 1285034553 | Raven S Jackson | Pharmacist | 1111 Medical Center Blvd, S 850, Marrero, LA 70072-3151 | 2014-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
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| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366417248 | Occupational Medicine Center of West Jefferson | Physical Medicine & Rehabilitation | 4475 Westbank Expy, Marrero, LA 70072-3102 | 2006-02-22 |
| 1891018933 | Pain Facility Management LLC | Physical Medicine & Rehabilitation | 1849 Barataria Blvd, Marrero, LA 70072-4203 | 2010-03-03 |
| 1669605721 | Meda Colvin LLC | Physical Medicine & Rehabilitation | 1111 Medical Center Blvd., Suite South 555, Marrero, LA 70072-0000 | 2009-08-24 |
| 1063541902 | Andrea P Toomer | Physical Medicine & Rehabilitation | 1111 Medical Center Blvd., Suite S750, Marrero, LA 70072 | 2007-03-05 |
| 1790721884 | Stephen A Rynick | Physical Medicine & Rehabilitation | 1111 Medical Center Blvd., Suite S750, Marrero, LA 70072 | 2006-06-20 |
| 1821064619 | Doctor Katz, Inc (a Professional Medical Corporation) | Physical Medicine & Rehabilitation | 1301 Barataria Blvd, Marrero, LA 70072-3703 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562469 | Tanya Goff Howard | Physical Medicine & Rehabilitation | 240 Ravensaide Dr, Houma, LA 70360-8368 | 2019-11-11 |
| 1265077804 | Kevin Labry | Physical Medicine & Rehabilitation | 1220 Berard St., Breaux Bridge, LA 70517 | 2019-11-07 |
| 1114416732 | Stephen Todd Zachary | Physical Medicine & Rehabilitation | 4615 Highway 80 Ste 9, Haughton, LA 71037-7480 | 2018-05-09 |
| 1750897831 | David Orr | Physical Medicine & Rehabilitation | 5019 Sunflower Blvd, Bossier City, LA 71112-4544 | 2017-12-27 |
| 1811414642 | John Nicholas Hodge IIi | Physical Medicine & Rehabilitation | 121 Carroll St, Shreveport, LA 71105 | 2017-08-23 |
| 1518498948 | Aim Systems | Physical Medicine & Rehabilitation | 4415 Lake St, Lake Charles, LA 70605-4527 | 2017-03-27 |
| 1609320506 | Mid State Orthopaedic & Sports Medicine Center LLC | Physical Medicine & Rehabilitation | 155 Ninth St, Ste A, Jena, LA 71342-3900 | 2016-08-09 |
| 1043672934 | Alexander Richerand | Physical Medicine & Rehabilitation | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2016-03-22 |
| 1912386814 | Michael Bryant Mciver | Physical Medicine & Rehabilitation | 4630 Ambassador Caffery Pkwy Ste 206, Lafayette, LA 70508 | 2015-05-26 |
| 1508244732 | Benjamin David Hefner | Physical Medicine & Rehabilitation | 1401 Foucher St Ste M1005, New Orleans, LA 70115-3515 | 2015-05-07 |
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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.