MR. MICHAEL GERHOLD (NPI# 1568694610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568694610 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GERHOLD |
| Credential | RT |
| Practice Address |
50 Magnolia Gardens Dr Covington LA 70435-9520 |
| Practice Telephone | 9728346759 |
| Mailing Telephone | 9728346759 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | MRT4610 | MS | Technologists, Technicians & Other Technical Service Providers |
| Y | 247100000X | Radiologic Technologist | 1168 | LA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
50 MAGNOLIA GARDENS DR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70435-9520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707842 | Ashlee L Poolson | Pharmacist | 73626 La-25, Covington, LA 70435 | 2015-08-04 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1477671816 | Suzanne Christine Cristodero | Speech-Language Pathologist | 22350 Hwy 1084, Covington, LA 70435 | 2007-03-26 |
| 1598881625 | Richard Glen Spell | Dentist | 79132 Hwy 40, Covington, LA 70435 | 2007-03-21 |
| 1609950518 | Susanne O. Core | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2006-10-25 |
| 1366725582 | Susanne O. Core Dmd Pdc Family Dentistry | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2011-09-23 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| 1508212036 | Nicholas Jake Foto Jr. | Student in an Organized Health Care Education/Training Program | 22360 Longleaf Dr, Covington, LA 70435-0225 | 2016-05-13 |
| 1013434018 | Anh Thi Phuong Tran | Pharmacist | 437 Saddlebrook Ct, Covington, LA 70435-0530 | 2017-08-29 |
| Find all providers in zip 70435 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346499936 | Michael Rene Rogers | Radiologic Technologist | 1031 W 25th Ave, Covington, LA 70433-1321 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124567649 | Albert Le | Radiologic Technologist | 606 Carol Dr, Jefferson, LA 70121-1706 | 2017-02-16 |
| 1902355332 | Tammany Boutte | Radiologic Technologist | 16218 W La Hwy 700, Kaplan, LA 70548-6449 | 2016-09-27 |
| 1699191106 | Julie Perry Normand | Radiologic Technologist | 5915 Cherokee Ln, Alexandria, LA 71301-2708 | 2014-03-07 |
| 1962636233 | Jessica M Brock | Radiologic Technologist | 169 Highland Dr, Mandeville, LA 70471 | 2009-05-14 |
| 1235381245 | Rachelle Logwood Washington | Radiologic Technologist | 2100 Mediamolle Dr, New Orleans, LA 70114-3436 | 2008-10-21 |
| 1831353895 | Maryanne L Colburn | Radiologic Technologist | 721 Park Ridge Dr, River Ridge, LA 70123-1182 | 2008-07-17 |
| 1477712156 | Physicians Imaging-houma Associates, LLC | Radiologic Technologist | 132 Valhi Lagoon Xing, Houma, LA 70360-3208 | 2008-06-06 |
| 1184763617 | Patrick Lee Miller | Radiologic Technologist | 1021 Coolidge Street, Lafayette, LA 70503 | 2007-02-05 |
| 1659425544 | Gulf Coast Mobile Imaging | Radiologic Technologist | 174 Grant Road, Opelousas, LA 70570-0720 | 2007-01-22 |
| 1881989242 | Mobile Imaging and Diagnostics, LLC | Radiologic Technologist | 910 Harding St, Lafayette, LA 70503-2450 | 2011-06-14 |
| 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.