JORGE AUGUSTO KOHATSU (NPI# 1578676086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578676086 |
| Entity Type | Individual |
| Full Name | JORGE AUGUSTO KOHATSU |
| Credential | MD |
| Practice Address |
203 E Miller Ave Iowa LA 70647-4052 |
| Practice Telephone | 3375827632 |
| Practice Fax Number | 3375827656 |
| Mailing Telephone | 3375827632 |
| Mailing Fax Number | 3375827656 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | L12247R | LA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | L12247R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | 080129756 | 01 |
| LA | 1534943 | 05 |
| Street Address |
203 E MILLER AVE |
| City | IOWA |
| State | LA |
| Zip Code | 70647-4052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893732 | Jennifer Trombatore | Nurse Practitioner | 203 E Miller Ave, Iowa, LA 70647-4075 | 2019-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467840 | Portie Np Services, LLC | Nurse Practitioner | Imperial Health, LLP, 607 North Thomson Ave, Iowa, LA 70647 | 2020-05-06 |
| 1548810484 | Lou Anna Anderson | In Home Supportive Care | 215 South Storer Street, #2255, Iowa, LA 70647 | 2019-09-12 |
| 1417426354 | Church Point Drug Inc | Pharmacy | 615 E. Miller Ave, Iowa, LA 70647 | 2018-11-21 |
| 1811445661 | Rachel Foreman | Pharmacist | 510 N Thomson Avenue, Iowa, LA 70647 | 2016-09-21 |
| 1750788477 | Christalle Ford | Pharmacist | 501 West Hwy 90, Iowa, LA 70647 | 2014-11-24 |
| 1720484736 | Ricky Thomas Guidry | Pharmacist | 214 S Thomson Ave, Iowa, LA 70647 | 2014-11-18 |
| 1578968384 | Guidry's Pharmacy | Pharmacy | 204 South Thomson Ave, Iowa, LA 70647 | 2014-10-23 |
| 1740699958 | Freds Stores of Tennessee Inc | Pharmacy | 510 S. Thomson Avenue, Iowa, LA 70647 | 2014-08-13 |
| 1336407493 | Samantha Gueringer Lilley | Nurse Practitioner | 621 E Miller Ave, Iowa, LA 70647 | 2012-04-26 |
| 1689969313 | Jess Andrew Lynn | Dentist | 206 North Thomson, Iowa, LA 70647 | 2011-06-10 |
| Find all providers in zip 70647 | ||||
| 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 |
|---|---|---|---|---|
| 1134271497 | Lake Charles Medical Services, Inc | Family Medicine | 203b E Miller Ave, Iowa, LA 70647-4052 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORGE AUGUSTO KOHATSU.
| 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.