CHARLES R GENOVESE JR MD INC (NPI# 1609177864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609177864 |
| Entity Type | Organization |
| Organization Name | CHARLES R GENOVESE JR MD INC |
| Practice Address |
312 E Rail Road Ave Independence LA 70443 |
| Mailing Address |
Po Box 969 Independence LA 70443-0969 |
| Practice Telephone | 9858784183 |
| Practice Fax Number | 9858783830 |
| Mailing Telephone | 9858784183 |
| Mailing Fax Number | 9858783830 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |
| Authorized Official Name | DR. CHARLES GENOVESE JR. (PRESIDENT) |
| Authorized Official Telephone | 9858784183 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 015669 | LA | Other Service Providers |
| Street Address |
312 E RAIL ROAD AVE |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 70443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1063842912 | Moritha Johnson | Licensed Practical Nurse | 14175 Rev. J. White Rd, Independence, LA 70443 | 2013-11-13 |
| 1053749739 | Southeast Community Health Systems | Clinic/Center | 336 East Railroad Avenue, Independence, LA 70443 | 2013-10-16 |
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1326345414 | Alfaa House Community Center | Psychiatric Hospital | 306 W 4th Street, Independence, LA 70443 | 2011-02-25 |
| 1437300233 | L A Homecare 1 Inc | In Home Supportive Care | 146 Hwy 40, C, Independence, LA 70443 | 2008-10-10 |
| 1770758120 | Ila Jean Cascio | Speech-Language Pathologist | 51642 Hwy 1065, Independence, LA 70443 | 2008-04-28 |
| 1710150446 | Northlake Supports and Services Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 27683 Ivy Springs Drive, Independence, LA 70443 | 2008-04-02 |
| Find all providers in zip 70443 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265892905 | Debra Moravac | Specialist | 17313 E 54th Ter Ct, Independence, MO 64055-7832 | 2016-02-23 |
| 1295165017 | Tracy Lynn Gastright | Specialist | 6264 Martys Trl, Independence, KY 41051-8377 | 2013-11-14 |
| 1548541782 | The Outlet Place for Women | Specialist | 1308 W Truman Rd, Independence, MO 64050-3433 | 2011-09-01 |
| 1669777215 | Jayme Anne Richerson | Specialist | 4202 Briarwood Dr, Independence, KY 41051-9512 | 2011-01-12 |
| 1609006329 | Gary Joseph Do, Inc. | Specialist | 4700 Rockside Rd, Suite 535, Independence, OH 44131-2155 | 2009-07-15 |
| 1073758983 | Carrie Robin Chadwick | Specialist | 10933 Griststone Cir, Independence, KY 41051-7596 | 2008-12-05 |
| 1255522009 | Midwest Neuroscience PC | Specialist | 17020 E 40 Hwy, Suite 8, Independence, MO 64055-5365 | 2007-08-07 |
| 1336355064 | Virendra C. Patel | Specialist | 921 W Myrtle St, Independence, KS 67301-3241 | 2007-05-16 |
| 1891900304 | Milo Marvin Farnham | Specialist | 14505 E 32nd Ter S, Independence, MO 64055-2512 | 2007-05-10 |
| 1255545737 | Independence Medical Group PC | Specialist | 17601 E Us Highway 40, Suite S, Independence, MO 64055-5434 | 2007-05-10 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 70443 |
Please comment or provide details below to improve the information on CHARLES R GENOVESE JR MD INC.
| 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.