VASCULAR ACCESS CENTER OF NORTH SHORE LOUISIANA (NPI# 1588993679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588993679 |
| Entity Type | Organization |
| Organization Name | VASCULAR ACCESS CENTER OF NORTH SHORE LOUISIANA |
| Practice Address |
915 South Harrison Street Covington LA 70433 |
| Mailing Address |
2929 Arch St Suite 1750 Philadelphia PA 19104-2866 |
| Practice Telephone | 2153823680 |
| Practice Fax Number | 2153823683 |
| Mailing Telephone | 2153823680 |
| Mailing Fax Number | 2153823683 |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2020-05-26 |
| Authorized Official Name | MR. SETH SHARPE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2153823680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
915 SOUTH HARRISON STREET |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588981641 | Philip A Gardner Md LLC | Radiology | 915 South Harrison Street, Covington, LA 70433-3321 | 2010-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003194432 | Us Interventions & Radiology | Radiology | 5126 Hospital Dr Ne, Department of Radiology, Covington, GA 30014-2566 | 2011-08-02 |
| 1588981641 | Philip A Gardner Md LLC | Radiology | 915 South Harrison Street, Covington, LA 70433-3321 | 2010-04-29 |
| 1720030182 | James Milburn | Radiology | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438247 | James Ernesto Murray | Radiology | 1514 Jefferson Hwy Fl 2, Jefferson, LA 70121-2429 | 2014-04-28 |
| 1023383486 | Dane Gallmann Mackey | Radiology | 880 Sherwood Forest Blvd, Baton Rouge, LA 70815-5262 | 2012-03-19 |
| 1922313865 | John William Eiser | Radiology | 205 Magnolia Dr, Metairie, LA 70005-4030 | 2010-08-16 |
| 1386888733 | Jeremy David Cannell | Radiology | 15790 Paul Vega Drive, Hammond, LA 70403 | 2009-04-29 |
| 1609012657 | Vascular Access Center of Southwest Louisiana LLC | Radiology | 1340 Surrey St, Suite 101, Lafayette, LA 70501-7618 | 2008-12-22 |
| 1457412983 | Charles N Aprill IIi | Radiology | 1919 Veterans Memorial Blvd Ste 101, Kenner, LA 70062-4003 | 2006-12-12 |
| 1437183670 | Peripheral Vascular, Inc. | Radiology | 1100 Andre St Ste 101, New Iberia, LA 70563-2159 | 2006-07-11 |
| 1891341400 | Amber Lynn Durel | Radiology | 2400 Canal St, New Orleans, LA 70119-6535 | 2019-08-11 |
| 1902258486 | Jphir LLC | Radiology | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2016-07-07 |
| 1619317500 | Ricky Miller | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2013-06-25 |
| 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.