DR. ANTONIO DESSELL EDWARDS (NPI# 1568515419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568515419 |
| Entity Type | Individual |
| Full Name | DR. ANTONIO DESSELL EDWARDS |
| Credential | M.D. |
| Practice Address |
25073 Highway 1 S Plaquemine LA 70764-4431 |
| Practice Telephone | 2256871772 |
| Practice Fax Number | 2256871013 |
| Mailing Telephone | 2256871772 |
| Mailing Fax Number | 2256871013 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 84438 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 12515R | LA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
84438 | GA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
12515R | LA | Allopathic & Osteopathic Physicians |
| N | 405300000X | Prevention Professional | 84438 | GA | Other Service Providers |
| N | 405300000X | Prevention Professional | 12515R | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1534358 | 05 |
| Street Address |
25073 HIGHWAY 1 S |
| City | PLAQUEMINE |
| State | LA |
| Zip Code | 70764-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841138 | Access Health Louisiana | Clinic/Center | 58650 Iron Farm Road, Plaquemine, LA 70764 | 2018-11-28 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1770085938 | Angelica Darlynetta Peterson | Counselor | 58205 Bayou Jacob Rd, Plaquemine, LA 70764 | 2018-03-05 |
| 1841727500 | Bruce Greene | Counselor | 22900 Blakeney Dr, Plaqumine, LA 70764 | 2017-05-12 |
| 1104359801 | Gina J. Martin | Counselor | 58155 Chinn Street, Suite A, Plaquemine, LA 70764 | 2017-04-10 |
| 1831555713 | Dwayne Harmson | Social Worker | 23905 Castle Court St, Plaquemine, LA 70764 | 2016-01-08 |
| 1356718662 | St Gabriel Health Clinic, Inc | Clinic/Center | 24360 Enterprise Boulevard, Plaquemine, LA 70764 | 2015-08-24 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| 1861657421 | Signs & Wonders Community Mental Health Center LLC | Clinic/Center | 25341 Hwy 1 South, Plaquemine, LA 70764 | 2008-07-23 |
| 1205018389 | Physicians Imaging - Iberville LLC | Clinic/Center | 59295 River West Drive, Suite D, Plaquemine, LA 70764 | 2007-11-30 |
| Find all providers in zip 70764 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568581213 | Family First Medical Clinic | Family Medicine | 25073 Highway 1 S., Plaquemine, LA 70764 | 2007-03-27 |
| 1467587790 | Mark James Boquet | Family Medicine | 21255 Highway 1, B2303 Health Services, Plaquemine, LA 70764-5125 | 2007-02-23 |
| 1700951951 | Prime Health LLC | Family Medicine | 59295 Riverwest Dr, Suite C, Plaquemine, LA 70764 | 2006-11-22 |
| 1396775813 | Luke P. Lee | Family Medicine | 59295 River West Dr Ste C, Plaquemine, LA 70764-6597 | 2006-07-03 |
| 1972509420 | Andrea B Brown | Family Medicine | 23845 Church St, Plaquemine, LA 70764-3307 | 2005-06-21 |
| 1356703755 | Jessica Miller | Family Medicine | 25455 Highway 1, Plaquemine, LA 70764 | 2016-03-24 |
| 1255741245 | Baton Rouge General Medical Center | Family Medicine | 23845 Church St, Plaquemine, LA 70764-3307 | 2014-04-30 |
| 1023437977 | Jason Schrock | Family Medicine | 25455 Highway 1, Plaquemine, LA 70764-7513 | 2014-04-08 |
| 1366735748 | Brandon Michael Weeks | Family Medicine | 25455 Highway 1, Plaquemine, LA 70764-7513 | 2011-05-18 |
| 1447574678 | Reddy Family Medical Clinic LLC | Family Medicine | 58725 Belleview Dr, Sweet A-5, Plaquemine, LA 70764-3948 | 2010-03-17 |
| Find all providers in PLAQUEMINE | ||||
| City | PLAQUEMINE |
| Zip Code | 70764 |
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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.