JALAL JOUDEH (NPI# 1548328115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548328115 |
| Entity Type | Organization |
| Organization Name | JALAL JOUDEH |
| Other Organization Name | DEQUINCY MEDICAL CLINIC |
| Practice Address |
601 W 4th St Dequincy LA 70633-3301 |
| Mailing Address |
Po Box 866 Dequincy LA 70633-0866 |
| Practice Telephone | 3377866161 |
| Practice Fax Number | 3377867999 |
| Mailing Telephone | 3377866161 |
| Mailing Fax Number | 3377867999 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DR. JALAL JOUDEH (OWNER) |
| Authorized Official Telephone | 3377866161 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 1445347 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1445347 | 05 |
| Other Name | Type Code |
|---|---|
| DeQuincy Medical Clinic | Doing Business As Name - Organization |
| Street Address |
601 W 4TH ST |
| City | DEQUINCY |
| State | LA |
| Zip Code | 70633-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861425324 | Jalal Joudeh | Internal Medicine | 601 W 4th St, Dequincy, LA 70633-3301 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508036690 | John Craig Crawford | Emergency Medicine | 14925 Hwy 27, Phelps Correctional Center, Dequincy, LA 70633 | 2008-03-05 |
| 1306993191 | Kevin Michael Hamilton | Dentist | 202 S. Holly Street, Dequincy, LA 70633 | 2007-01-04 |
| 1598209207 | Lake Area Dentistry-dequincy, LLC | Clinic/Center | 824 W 4th St, Dequincy, LA 70633 | 2016-12-14 |
| 1639118078 | St Michael Pfu LLC | Skilled Nursing Facility | 602 N Division St, Dequincy, LA 70633-3129 | 2006-06-04 |
| 1285149690 | Jody Olmsted Arnold | Pharmacist | 702 W 4th St, Dequincy, LA 70633-3304 | 2017-12-07 |
| 1790227478 | Shanelle Buxton | Pharmacist | 702 W 4th St, Dequincy, LA 70633-3304 | 2016-11-10 |
| 1356771463 | Freds Stores of Tennessee Inc. | Pharmacy | 702 W 4th St, Dequincy, LA 70633-3304 | 2013-11-26 |
| 1710901053 | Peter T. Bayles | Dentist | 824 W 4th St, Dequincy, LA 70633-3321 | 2006-07-27 |
| 1881877629 | Debra H. Harville | Specialist | 112 Chavis Sq, Dequincy, LA 70633-3345 | 2007-12-16 |
| 1831560390 | Charles James Johnson | Pharmacist | 300 W. 4th Street, Dequincy, LA 70633-3404 | 2015-10-09 |
| Find all providers in zip 70633 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144377128 | Jagjit Chadha | Internal Medicine | 140 W 4th St, Dequincy, LA 70633-3508 | 2007-01-04 |
| 1861425324 | Jalal Joudeh | Internal Medicine | 601 W 4th St, Dequincy, LA 70633-3301 | 2006-07-08 |
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|---|---|---|---|---|
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| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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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.