DR. OWEN MOGABGAB (NPI# 1669528915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669528915 |
| Entity Type | Individual |
| Full Name | DR. OWEN MOGABGAB |
| Credential | M.D. |
| Practice Address |
107 Maryland Dr Luling LA 70070 |
| Mailing Address |
2730 Ambassador Caffery Pkwy Lafayette LA 70506-5939 |
| Practice Telephone | 9853081604 |
| Practice Fax Number | 9853081605 |
| Mailing Telephone | 3373699213 |
| Mailing Fax Number | 3373679624 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 228777 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.206730 | LA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
BP1-0038347 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
107 MARYLAND DR |
| City | LULING |
| State | LA |
| Zip Code | 70070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1093213274 | Cherrelle Monique Williams | Counselor | 999 Paul Fredrick Street, Luling, LA 70070 | 2018-01-23 |
| 1699222174 | Latrenda Williams | Counselor | 203 Paul Maillard Road, Luling, LA 70070 | 2016-09-01 |
| 1184028052 | Matthew M Powers | Physical Therapist | 12371 Hwy 90, Ste D, Luling, LA 70070 | 2014-10-21 |
| 1215343959 | Regional Home Care South,llc | Home Health | 50 Wade Street, Ste 3, Luling, LA 70070 | 2014-07-02 |
| 1902143936 | E. Millman Inc | Social Worker | 13201 River Rd, Lvling, LA 70070 | 2013-01-10 |
| 1225369994 | Slm Nonemergency Medical Transportation | Non-emergency Medical Transport (VAN) | 737 Paul Maillard Road, Luling, LA 70070 | 2010-01-20 |
| 1972753192 | Grace Healthcare Management, LLC | Rehabilitation Hospital | 1125 Paul Maillard Road, Luling, LA 70070 | 2008-09-24 |
| 1528214871 | Monica Vial Benson, M.d., Apmc | Physical Medicine & Rehabilitation | 126 Post Drive, Luling, LA 70070 | 2008-08-18 |
| 1609089002 | Damaris D. Bastian, Dds General Dentistry, LLC | Dentist | 1518 Paul Mallard Rd, Luling, LA 70070 | 2007-05-08 |
| Find all providers in zip 70070 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1902214133 | Access Health Louisiana | Internal Medicine | 1057 Paul Maillard Rd, Suite 240, Luling, LA 70070-4349 | 2014-07-31 |
| 1326342064 | Access Health Louisiana | Internal Medicine | 843 Milling Ave, Luling, LA 70070-4442 | 2011-01-10 |
| 1902953888 | Christopher Louis Paris | Internal Medicine | 1057 Paul Maillard Rd, D1900, Luling, LA 70070-4349 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424583 | Ochsner Clinic LLC | Internal Medicine | 64040 Highway 434 Ste 100, Lacombe, LA 70445-3499 | 2020-07-09 |
| 1336776038 | Louisiana Community Health Center | Internal Medicine | 91 Westbank Expy Ste 440, Gretna, LA 70053-3678 | 2020-03-24 |
| 1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1235789595 | Cardiovascular Specialty Care Center - Vascular | Internal Medicine | 7777 Hennessy Blvd Ste 215, Baton Rouge, LA 70808-4365 | 2019-09-18 |
| 1184140154 | Cardiovascular Specialty Care Center of Covington, LLC | Internal Medicine | 71070 Highway 21, Covington, LA 70433-7160 | 2017-08-21 |
| 1508388299 | Louisiana State University School of Medicine In New Orleans Faculty G | Internal Medicine | 120 Ochsner Blvd Ste 340, Gretna, LA 70056-5249 | 2017-07-13 |
| 1003348012 | Vascular Advantages of La, LLC | Internal Medicine | 10966 Laird Ln, Denham Springs, LA 70726-7963 | 2017-03-29 |
| 1104281476 | White Clover, LLC | Internal Medicine | 8835 Line Ave Ste 400, Shreveport, LA 71106-6730 | 2015-12-30 |
| 1538543574 | Prevail Heart Clinic of Ville Platte, LLC | Internal Medicine | 504 Jack Miller Rd Ste 8, Ville Platte, LA 70586-5600 | 2015-07-18 |
| 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.