DR DOUGLAS MEHAFFIE MD LLC (NPI# 1669409199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669409199 |
| Entity Type | Organization |
| Organization Name | DR DOUGLAS MEHAFFIE MD LLC |
| Other Organization Name | THE URGENT CARE |
| Practice Address |
148 Wall Blvd Gretna LA 70056-7107 |
| Practice Telephone | 5043932775 |
| Practice Fax Number | 5043932744 |
| Mailing Telephone | 5043932775 |
| Mailing Fax Number | 5043932744 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | DR. DOUGLAS MEHAFFIE (OWNER) |
| Authorized Official Telephone | 5043932775 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1447331 | 05 |
| Other Name | Type Code |
|---|---|
| THE URGENT CARE | Doing Business As Name - Organization |
| Street Address |
148 WALL BLVD |
| City | GRETNA |
| State | LA |
| Zip Code | 70056-7107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393078 | Douglas Mehaffie | Family Medicine | 148 Wall Blvd, Gretna, LA 70056-7107 | 2005-06-01 |
| 1497373625 | Megan Dussouy | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2020-07-14 |
| 1730712217 | Lana Duncan Huling | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2020-02-12 |
| 1639722580 | Caroline Schmidt Brennan | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2019-07-19 |
| 1417476813 | Kassie Marie Gill | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2017-09-17 |
| 1669849642 | The Urgent Care | Family Medicine | 148 Wall Blvd, Gretna, LA 70056-7107 | 2015-08-26 |
| 1952706897 | Amanda Richard Goldberg | Registered Nurse | 148 Wall Blvd, Gretna, LA 70056-7107 | 2014-11-04 |
| 1477985422 | Sharon Lynn Spina-phillips | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2013-08-01 |
| 1801177175 | Terri Lynn Adams | Nurse Practitioner | 148 Wall Blvd, Gretna, LA 70056-7107 | 2011-08-31 |
| 1962434571 | Christopher Swearingen | Emergency Medicine | 148 Wall Blvd, Gretna, LA 70056-7107 | 2006-07-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
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| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134511355 | Expressway Urgent Care, LLC | Clinic/Center | 315 Westbank Expy, Gretna, LA 70053-5601 | 2015-02-25 |
| 1770637662 | Gulf Coast Occupational Medicine After Hours, Westbank | Clinic/Center | 441 Wall Blvd, Gretna, LA 70056-7723 | 2007-01-22 |
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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.