SLIDELL INTERNAL MEDICINE CLINIC LLC (NPI# 1700090016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700090016 |
| Entity Type | Organization |
| Organization Name | SLIDELL INTERNAL MEDICINE CLINIC LLC |
| Practice Address |
105 Medical Center Dr Suite 301 Slidell LA 70461-5544 |
| Practice Telephone | 9856460123 |
| Practice Fax Number | 9856410330 |
| Mailing Telephone | 9856460123 |
| Mailing Fax Number | 9856410330 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-12-28 |
| Authorized Official Name | DR. ALLAN QUIBILAN LARCENA (OWNER) |
| Authorized Official Telephone | 9856460123 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11339R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1662097 | 05 |
| Street Address |
105 MEDICAL CENTER DR SUITE 301 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074794 | Arthur A. Caire | Specialist | 105 Medical Center Dr, Ste 102, Slidell, LA 70461-5537 | 2005-06-23 |
| 1407314248 | Ochsner Clinic LLC | Internal Medicine | 105 Medical Center Dr, Slidell, LA 70461-5544 | 2019-03-12 |
| 1174971394 | Kristin Russo | Nurse Practitioner | 105 Medical Center Dr, Suite 303, Slidell, LA 70461-5544 | 2016-05-27 |
| 1003225905 | Ha Ninh | Optometrist | 105 Medical Center Dr, Ste 202, Slidell, LA 70461-5544 | 2014-08-05 |
| 1841450780 | John F Vu | Anesthesiology | 105 Medical Center Dr, Suite # 205, Slidell, LA 70461-5544 | 2008-06-13 |
| 1326214875 | The Spine Management Center,llc | Pain Medicine | 105 Medical Center Dr, Suite 305, Slidell, LA 70461-5544 | 2008-05-05 |
| 1891972410 | Adela' Marie Narcisse | Obstetrics & Gynecology | 105 Medical Center Dr, Suite #303, Slidell, LA 70461-5544 | 2008-01-25 |
| 1952508525 | Arthur Caire,iv.,m.d., A.p.mc. | Specialist | 105 Medical Center Dr, Suite 102, Slidell, LA 70461-5544 | 2007-06-28 |
| 1285853853 | Bayou Foot Care, LLC | Durable Medical Equipment & Medical Supplies | 105 Medical Center Dr, Suite 302, Slidell, LA 70461-5544 | 2007-04-24 |
| 1750500468 | Bayou Foot Care, LLC | Podiatrist | 105 Medical Center Dr, Suite 302, Slidell, LA 70461-5544 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1861002958 | Ochsner Clinic LLC | Internal Medicine | 1051 Gause Blvd Ste 380, Slidell, LA 70458-2997 | 2020-08-04 |
| 1851873954 | Ochsner Clinic LLC | Internal Medicine | 1050 Gause Blvd Ste 320, Slidell, LA 70458-2940 | 2018-09-05 |
| 1093903726 | Koteswara R Pothineni | Internal Medicine | 1051 Gause Blvd Ste 320, Slidell, LA 70458-2988 | 2007-10-09 |
| 1992912794 | David J Cuccia Md LLC | Internal Medicine | 85 Whisperwood Blvd # 2b, Slidell, LA 70458-1136 | 2007-05-17 |
| 1063638831 | Northlake Primary Care | Internal Medicine | 951 Gause Blvd Ste 2, Slidell, LA 70458-2937 | 2007-04-18 |
| 1104956382 | Edward Madison IIi | Internal Medicine | 2765 Sgt Alfred Dr, Slidell, LA 70458-4013 | 2007-03-06 |
| 1538202825 | Christy Graves, M.d., Apmc | Internal Medicine | 1850 Gause Blvd E Ste 205, Slidell, LA 70461-5434 | 2007-02-15 |
| 1952444754 | Jimmy L Kittrell Jr. | Internal Medicine | 140 E I 10 Service Rd, Slidell, LA 70461-3564 | 2007-02-14 |
| 1164564324 | Amy Sheeder LLC | Internal Medicine | 303 Koel Ct, Slidell, LA 70461-3205 | 2007-02-13 |
| 1972645786 | Marie Delvalle-mahoney | Internal Medicine | 85 Whisperwood Blvd Ste 2b, Slidell, LA 70458-1136 | 2007-02-12 |
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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.