HAYDEL MEDICAL & PAIN CENTER LLC (NPI# 1538501994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538501994 |
| Entity Type | Organization |
| Organization Name | HAYDEL MEDICAL & PAIN CENTER LLC |
| Practice Address |
1057 Paul Maillard Rd Luling LA 70070-4349 |
| Mailing Address |
1690 Dunlawton Ave Suite 130 Port Orange FL 32127-8979 |
| Practice Telephone | 8888367015 |
| Mailing Telephone | 8888367015 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2014-04-23 |
| Authorized Official Name | KARL G. HAYDEL JR. (PRESIDENT & CEO) |
| Authorized Official Telephone | 8888367015 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 019061 | LA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
019061 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
1057 PAUL MAILLARD RD |
| City | LULING |
| State | LA |
| Zip Code | 70070-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295716637 | Hospital Service Dist. No. 1 of The Parish of St. Charles, State of La | Psychiatric Unit | 1057 Paul Maillard Rd, Luling, LA 70070 | 2005-11-11 |
| 1447728019 | Casey A Rahaley | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2018-11-13 |
| 1316481021 | Southern Kidney Specialists, LLC | Internal Medicine | 1057 Paul Maillard Rd, Suite 210, Luling, LA 70070-4349 | 2016-12-14 |
| 1942657192 | Jessica L Adams | Registered Nurse | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-05-18 |
| 1972957116 | Y'annika Anjane' Edwards | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-13 |
| 1619331089 | Asfiya Yunus | Family Medicine | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2016-04-11 |
| 1750767927 | Mindy Gaubert Hymel | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1447636626 | Nathaly Carrion | Nurse Practitioner | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-08-10 |
| 1528446101 | Luling Emergency Group LLC | Physician Assistant | 1057 Paul Maillard Rd, Luling, LA 70070-4349 | 2015-05-14 |
| 1033506027 | Amber Lewis | Nurse Practitioner | 1057 Paul Maillard Rd, Ste. D-1900, Luling, LA 70070-4349 | 2015-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
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|---|---|---|---|---|
| 1760025001 | Brain & Pain Care, LLC | Pain Medicine | 725 N Ashley Ridge Loop Ste 100, Shreveport, LA 71106-7233 | 2019-10-18 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1831660596 | Injury Treatment Center of Louisiana, LLC | Pain Medicine | 15814 Professional Plz, Hammond, LA 70403-1453 | 2018-12-06 |
| 1538673694 | Advanced Pain Management, LLC | Pain Medicine | 6536 Lasalle Ave, Baton Rouge, LA 70806-7318 | 2017-11-28 |
| 1619417607 | Segura Wellness, LLC | Pain Medicine | 7039 Highway 190 East Service Rd, Suite C, Covington, LA 70433-4961 | 2017-02-24 |
| 1821431024 | Felman Institute for Wellness and Longevity | Pain Medicine | 455 East Airport Road, Baton Rouge, LA 70806 | 2013-04-08 |
| 1528203957 | Neuroscience & Pain Institute LLC | Pain Medicine | 50 Louis Prima Dr, Suite A, Covington, LA 70433 | 2008-12-15 |
| 1740495829 | Firas Hijazi Md Apmc | Pain Medicine | 2149 Augusta Dr, La Place, LA 70068-1711 | 2007-05-11 |
| 1760598726 | Melanie C. Firmin, Md Apmc | Pain Medicine | 1587 N Bolton Ave Ste 1200, Alexandria, LA 71303 | 2006-08-22 |
| 1700800828 | Kevin R Martinez | Pain Medicine | 4228 Houma Blvd Ste 510, Suite 510, Metairie, LA 70006-3015 | 2006-07-26 |
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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.