ANDREW ALDEN GRUEZKE (NPI# 1669714440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669714440 |
| Entity Type | Individual |
| Full Name | ANDREW ALDEN GRUEZKE |
| Practice Address |
246 Bonnabel Blvd Metairie LA 70005-3739 |
| Practice Telephone | 5046507692 |
| Mailing Telephone | 5046507692 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2017-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD.207209 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
246 BONNABEL BLVD |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205864 | Herbert Gerard Haydel | General Practice | 4412 Elmwood Pkwy, Metairie, LA 70003-2829 | 2018-08-21 |
| 1437686193 | Ochsner Clinic LLC | General Practice | 123 Metairie Rd, Metairie, LA 70005-4537 | 2017-05-12 |
| 1205254158 | Karmynah Marie Wilnetta Helaire | General Practice | 3928 S I 10 Service Rd W, Apt. 214, Metairie, LA 70001-1570 | 2014-03-28 |
| 1346582129 | Travis Simpson | General Practice | 213 W Gatehouse Dr Apt H, Metairie, LA 70001-7572 | 2013-03-20 |
| 1922314467 | Pamela Marie Conley | General Practice | 3350 Ridgelake Dr Ste 109, Metairie, LA 70002-3829 | 2010-08-22 |
| 1275720732 | Advantage Weight Loss Clinic | General Practice | 3939 Veterans Blvd., Suite 275, Metairie, LA 70002 | 2007-09-28 |
| 1275748675 | Shannon Christopher Ceasar | General Practice | 3801 Houma Blvd, Suite 100, Metairie, LA 70006-4165 | 2007-05-11 |
| 1801391743 | Landmark Medical of Louisiana A Professional Corporation | General Practice | 1 Galleria Blvd Ste 1420, Metairie, LA 70001-2082 | 2018-03-23 |
| 1073052361 | Ochsner Clinic LLC | General Practice | 3601 Houma Blvd, Suite 203, Metairie, LA 70006-4326 | 2017-02-20 |
| 1215476015 | Ochsner Clinic LLC | General Practice | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2017-02-14 |
| Find all providers in METAIRIE | ||||
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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.