AMANDA RIDDELL LEA (NPI# 1609036466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609036466 |
| Entity Type | Individual |
| Full Name | AMANDA RIDDELL LEA |
| Credential | D.O. |
| Practice Address |
2335 Church St Suite E Zachary LA 70791-2700 |
| Practice Telephone | 2256543607 |
| Practice Fax Number | 2256582262 |
| Mailing Telephone | 2256543607 |
| Mailing Fax Number | 2256582262 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | DO.000325 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2345711 | 05 |
| Street Address |
2335 CHURCH ST SUITE E |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533952 | Michael Kemp Amacker | Family Medicine | 2335 Church St, Ste E, Zachary, LA 70791-2700 | 2005-07-26 |
| 1104233923 | Jeremy Dedeaux | Nurse Practitioner | 2335 Church St, Suite E, Zachary, LA 70791-2700 | 2014-07-14 |
| 1104104389 | Anthony Marino IIi | Physical Therapist | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2011-07-22 |
| 1346546744 | Kyle Leblanc | Physical Therapist | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2011-02-02 |
| 1215241591 | Ryan C Bozant | Physical Therapist | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2010-07-29 |
| 1962720045 | Althea M Jones | Physical Therapist | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2010-05-13 |
| 1205153608 | Thomas Jeffrey Gould | Family Medicine | 2335 Church St, Suite E, Zachary, LA 70791-2700 | 2010-04-23 |
| 1306176409 | Maryann Brock | Physical Therapist | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2010-01-12 |
| 1083843247 | Amy B Dixon | Occupational Therapist | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2009-07-09 |
| 1023271491 | Alvin C Moreau Jr Licensed Physical Therapist Dtd 01 15 82 | Durable Medical Equipment & Medical Supplies | 2335 Church St, Suite G, Zachary, LA 70791-2700 | 2008-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1306355102 | Radiation Oncology Center - Zachary | Clinic/Center | 6180 Main Street, Ste B, Zachary, LA 70791 | 2017-09-25 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215238878 | Clayton G Brown Md A Professional Medical Corporation | Internal Medicine | 2335 Church St Ste F, Zachary, LA 70791-2700 | 2010-11-12 |
| 1841482445 | Permanand S. J. Beeharilal | Internal Medicine | 4242 Highway 19 Ste A, Zachary, LA 70791 | 2007-08-16 |
| 1235190182 | Clayton G Brown | Internal Medicine | 4727 W Park Dr Ste A, Zachary, LA 70791-4090 | 2006-03-30 |
| 1568488849 | Zachary Internal Medicine Clinic LLC | Internal Medicine | 19850 Old Scenic Hwy, Suite 300, Zachary, LA 70791-7384 | 2006-07-13 |
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| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
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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.