SOPHY ANN JANCICH (NPI# 1568404390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568404390 |
| Entity Type | Individual |
| Full Name | SOPHY ANN JANCICH |
| Credential | MD |
| Practice Address |
120 Ochsner Blvd Ste 310 Gretna LA 70056 |
| Mailing Address |
120 Ochsner Blvd. Suite 310 Gretna LA 70056 |
| Practice Telephone | 5045958014 |
| Practice Fax Number | 5045958115 |
| Mailing Telephone | (504) 595-8014 |
| Mailing Fax Number | 5045958115 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
023710 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD.023710 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1484571 | 05 | |
| IN | MEDICAL LICENSE # | 01061634A | 01 |
| MS | 04286541 | 05 | |
| AZ | MEDICAL LICENSE # | 35577 | 01 |
| WA | MEDICAL LICENSE # | MD00046564 | 01 |
| Street Address |
120 OCHSNER BLVD STE 310 |
| City | GRETNA |
| State | LA |
| Zip Code | 70056 |
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1992052989 | Robert Weilbaecher Sr. | Internal Medicine | 31 Plover St, New Orleans, LA 70124-4408 | 2012-08-08 |
| 1801038559 | Bina Motwani | Internal Medicine | 2827 Bolch St, Shreveport, LA 71104-3931 | 2009-03-26 |
| 1548200157 | Lee Roy Morgan Jr. | Internal Medicine | 725 Topaz St, New Orleans, LA 70124-3623 | 2006-06-08 |
| 1821053695 | Nagarajan Chandrasekaran | Internal Medicine | 4513 Westbank Expy, Marrero, LA 70072-3120 | 2006-04-17 |
| 1225093099 | William Stein IIi | Internal Medicine | 328 Rue Saint Peter, Metairie, LA 70005-3472 | 2006-04-17 |
| 1255811659 | Lagniappe Medical Services | Internal Medicine | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2018-08-16 |
| 1013393677 | Our Lady of Lourdes Regional Medical Center | Internal Medicine | 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 | 2015-08-06 |
| 1841634011 | Sanjay Kumar Juneja | Internal Medicine | 1501 Kings Hwy, Hematology/oncology, Shreveport, LA 71103-4228 | 2013-04-18 |
| 1790027589 | William Thomas Varnado | Internal Medicine | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOPHY ANN JANCICH.
| 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.