ELIZABETH ANNE CORBELLO (NPI# 1649468224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649468224 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANNE CORBELLO |
| Credential | P.A. |
| Practice Address |
1301 Camellia Blvd Suite 102 Lafayette LA 70508-7089 |
| Practice Telephone | 3372333201 |
| Mailing Telephone | 3372333201 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA.INTE.PERMIT | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2113925 | 05 |
| Street Address |
1301 CAMELLIA BLVD SUITE 102 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-7089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548230048 | Peter D Vizzi | Orthopaedic Surgery | 1301 Camellia Blvd, Suite 102, Lafayette, LA 70508-7089 | 2006-01-25 |
| 1063955763 | Spine Headache and Pain, LLC | Physical Medicine & Rehabilitation | 1301 Camellia Blvd, Ste 400, Lafayette, LA 70508-7089 | 2016-11-29 |
| 1306023197 | Courtney Bueker Albritton | Nurse Practitioner | 1301 Camellia Blvd, Suite 102, Lafayette, LA 70508-7089 | 2008-01-24 |
| 1609065812 | Peter D Vizzi Md Amc | Orthopaedic Surgery | 1301 Camellia Blvd, 102, Lafayette, LA 70508-6766 | 2007-10-24 |
| 1457386773 | Thomas Joseph Montgomery | Orthopaedic Surgery | 1301 Camellia Blvd, Suite 102, Lafayette, LA 70508-7089 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737366 | Wound Solutions Inc | Physician Assistant | 130 Old Laramie Trl Ste 100, Lafayette, CO 80026-7014 | 2020-07-13 |
| 1558685495 | Douglas D Kesler | Physician Assistant | 1411 S Creasy Lane, Suite 120, Lafayette, IN 47905-7433 | 2010-03-22 |
| 1285895060 | Jennifer Menard Piker | Physician Assistant | 605 Silverstone Road, Suite 100, Lafayette, LA 70508 | 2008-06-24 |
| 1013019108 | Tabatha Alma Tomajko | Physician Assistant | 300 Exempla Circle, Suite 360, Bluestone Advanced Surgical Care, Lafayette, CO 80026 | 2006-09-01 |
| 1437134707 | Cal Anthony Domingue | Physician Assistant | 5000 Ambassador Caffery Pkwy Bldg 14a, Lafayette, LA 70508-6984 | 2005-12-09 |
| 1811997075 | James R. Redmond Sr. | Physician Assistant | 601 W Saint Mary Blvd, Ste 308, Lafayette, LA 70506-3568 | 2005-07-28 |
| 1326694076 | Nathan J Ambrose | Physician Assistant | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2019-08-16 |
| 1720536618 | Richard Davis | Physician Assistant | 5000 Ambassador Caffery Pkwy Ste A, Lafayette, LA 70508-6984 | 2016-09-20 |
| 1205218914 | Amanda Murray | Physician Assistant | 3900 St Francis Way Ste 201, Lafayette, IN 47905-4923 | 2015-06-18 |
| 1245666254 | Emily Renee Thibodaux | Physician Assistant | 1103 Kaliste Saloom Rd, Suite 206, Lafayette, LA 70508-5783 | 2013-09-23 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on ELIZABETH ANNE CORBELLO.
| 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.