INNOVATIVE HEALTH SERVICES LLC (NPI# 1538275771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538275771 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTH SERVICES LLC |
| Practice Address |
1700 Lindberg Dr Slidell LA 70458-8062 |
| Mailing Address |
Dept 960375 Oklahoma City OK 73196-0375 |
| Practice Telephone | 8884472450 |
| Mailing Telephone | 8884472450 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2009-10-26 |
| Authorized Official Name | DEBORAH LEBLANC (PARTNER) |
| Authorized Official Telephone | 8774854474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 8036268 | 05 | |
| MS | RAILROAD MEDICARE | DF7310 | 01 |
| MS | DEPT OF LABOR FECA | 613067100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780998963 | Innovative Health Services LLC | Emergency Medicine | 1570 Lindberg Dr, Ste 12, Slidell, LA 70458-8058 | 2010-07-30 |
| 1912135328 | Innovative Health Services LLC | Hospitalist | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2009-06-24 |
| 1982831681 | Innovative Health Services LLC | Hospitalist | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2009-06-19 |
| Street Address |
1700 LINDBERG DR |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-8062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861935686 | Courtney Archie | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2016-11-28 |
| 1821465576 | Lake Surgical Hospital Slidell, LLC | General Acute Care Hospital | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2015-08-28 |
| 1578944336 | Adrienne Goodwin | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2015-06-17 |
| 1164800413 | Lori Jean Lewis | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2015-05-07 |
| 1538561048 | Kelly Broussard | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2014-09-16 |
| 1205275187 | Eancia C Armstrong | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2013-06-24 |
| 1528397031 | Brandi French | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2009-12-11 |
| 1659600179 | Anna Henderson Williams | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2009-12-11 |
| 1548599061 | Desiree Joan Young | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2009-12-11 |
| 1881923399 | Deborah Mcneely Schmelling | Nurse Anesthetist, Certified Registered | 1700 Lindberg Dr, Slidell, LA 70458-8062 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033293790 | Lee Robert Domangue, M.d., A Professional Medical Corporation | Emergency Medicine | 34057 Highway 433, Slidell, LA 70460-3531 | 2006-10-25 |
| 1962429985 | Thaddeus Ray Erato | Emergency Medicine | 1052 Lakeshore Blvd, Slidell, LA 70461-4678 | 2006-07-16 |
| 1629057856 | Deepak S. Dixit | Emergency Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2006-01-16 |
| 1225419211 | Brant P Domangue | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2015-06-15 |
| 1528487923 | Joshua T Lim | Emergency Medicine | 1001 Gause Blvd, Slidell, LA 70458 | 2014-04-14 |
| 1922340710 | Elizabeth Fruge | Emergency Medicine | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2013-03-20 |
| 1538401393 | Brenna Bussart Ramos | Emergency Medicine | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2013-03-20 |
| 1780998963 | Innovative Health Services LLC | Emergency Medicine | 1570 Lindberg Dr, Ste 12, Slidell, LA 70458-8058 | 2010-07-30 |
| 1770807786 | Andrew Joseph Fuller Sr. | Emergency Medicine | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2010-03-19 |
| 1255592788 | John Brian Seymour | Emergency Medicine | 100 Medical Center Drive, Slidell, LA 70461-5520 | 2008-06-18 |
| Find all providers in SLIDELL | ||||
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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.