ABITA SQUARE DIALYSIS, LLC (NPI# 1710212873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710212873 |
| Entity Type | Organization |
| Organization Name | ABITA SQUARE DIALYSIS, LLC |
| Practice Address |
397 Highway 21 Suite 601 Madisonville LA 70447-3407 |
| Practice Telephone | 9858459000 |
| Mailing Telephone | 9858459000 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2009-10-07 |
| Authorized Official Name | JOHN E ANGELO (ADMINISTRATOR) |
| Authorized Official Telephone | 9858459000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
APPLYING FOR | LA | Ambulatory Health Care Facilities |
| Street Address |
397 HIGHWAY 21 SUITE 601 |
| City | MADISONVILLE |
| State | LA |
| Zip Code | 70447-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942209713 | Renalsouth of Louisiana, LLC | Clinic/Center | 397 Highway 21, Suite 602, Madisonville, LA 70447-3407 | 2005-07-14 |
| 1417396797 | Nephrology and Wellness LLC | Internal Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2013-06-19 |
| 1700106861 | Ksw LLC | Internal Medicine | 397 Highway 21, Suite 601, Madisonville, LA 70447-3407 | 2010-06-10 |
| 1679751705 | Cheryl Brown, M.d., Apmc | Internal Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2008-01-31 |
| 1336338052 | Talisman Healing Arts, LLC | Emergency Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2007-10-18 |
| 1073707543 | Renal Specialty Physicians, LLC | Internal Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2007-08-28 |
| 1548485949 | Specialty Physicians, LLC | Internal Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2007-04-13 |
| 1992920318 | Matloob Rehman, M.d., LLC | Internal Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2007-04-13 |
| 1861466450 | Eric Ehrensing, Md Apc | Preferred Provider Organization | 397 Highway 21, Suite 601, Madisonville, LA 70447-3407 | 2006-02-13 |
| 1497739981 | Cheryl L Brown | Internal Medicine | 397 Highway 21, Ste 601, Madisonville, LA 70447-3407 | 2005-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460001 | Bfd Madisonville Associates LLC | Dentist | 109 Pine Creek Drive, Suite B, Madisonville, LA 70447 | 2020-05-29 |
| 1740819861 | Carly Pfeiffer | Registered Nurse | 400 Belle Pointe Drive, Madisonville, LA 70447 | 2020-04-02 |
| 1508335910 | Oh Project- Southshore | Nurse Practitioner | 23515 U.S. 190, Northlake Academy Building, Mandeville, LA 70447 | 2018-11-14 |
| 1356702898 | Brook Campo | Behavioral Analyst | 423 Hwy 22 W, Madisonville, LA 70447 | 2016-03-11 |
| 1538554639 | William Howard Ollendike | Counselor | 209 Highway 22 Suite G, Madisonville, LA 70447 | 2015-04-06 |
| 1194127639 | Script Specialists | Pharmacy | 1922 Hwy 22 West, Suite B, Madisonville, LA 70447 | 2014-09-16 |
| 1225459001 | Alecia Hasselbeck | Social Worker | 16181 Indian Point Dr, Madisonville, LA 70447 | 2013-12-23 |
| 1124464888 | Britney Jan Beard | Dentist | 377 Hwy La-21, Ste 102, Madisonville, LA 70447 | 2013-05-21 |
| 1669722930 | Frank Jack George | Obstetrics & Gynecology | 129 Rue Les Bois, Madisonville, LA 70447 | 2012-09-14 |
| 1356617575 | Ernest John Lorch Jr. | Pediatrics | 820 Sand Fox Run, Madisonville, LA 70447 | 2012-04-02 |
| Find all providers in zip 70447 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073902771 | Primrose Dialysis, LLC | Clinic/Center | 712 S May St, Madisonville, TX 77864-2564 | 2015-01-19 |
| 1174877138 | Sng - St. Tammany Dialysis Center Lp | Clinic/Center | 397 Highway 21 Ste 602, Madisonville, LA 70447-3407 | 2012-10-30 |
| 1336396506 | Total Renal Care Inc | Clinic/Center | 255 E North St, Madisonville, KY 42431-1641 | 2008-08-19 |
| 1588832471 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1020 Waterfall Ct., Madisonville, KY 42431 | 2008-02-14 |
| 1942209713 | Renalsouth of Louisiana, LLC | Clinic/Center | 397 Highway 21, Suite 602, Madisonville, LA 70447-3407 | 2005-07-14 |
| 1124536552 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 397 Highway 21 Ste 602, Madisonville, LA 70447-3407 | 2018-01-19 |
| 1639212129 | Baptist Health Madisonville Inc | Clinic/Center | 900 Hospital Dr, Madisonville, KY 42431-1644 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079085 | Fresenius Medical Care Broussard, LLC | Clinic/Center | 138 Youngsville Highway, Lafayette, LA 70508-4536 | 2020-09-29 |
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1700404381 | Fresenius Medical Care Ouachita Home, LLC | Clinic/Center | 401 Thomas Rd Ste D, West Monroe, LA 71292-7902 | 2020-07-09 |
| 1255997110 | Dialysis Clinic Inc | Clinic/Center | 222 Saint Nazaire Rd, Broussard, LA 70518-4205 | 2019-05-16 |
| 1710457544 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 5820 Masonic Dr, Alexandria, LA 71301-2634 | 2018-12-05 |
| 1215407101 | Bio-medical Applications of Louisiana LLC | Clinic/Center | 634 Tunica Dr W, Marksville, LA 71351-2629 | 2018-12-04 |
| 1790263697 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 6101 Elysian Fields Ave, New Orleans, LA 70122-4209 | 2018-08-02 |
| 1881192540 | Isd Renal Inc | Clinic/Center | 3999 Highway 190 East Service Rd Ste A, Covington, LA 70433-4914 | 2018-01-29 |
| 1629583281 | Bio-medical Applications Louisiana, LLC | Clinic/Center | 2500 Louisiana Ave, New Orleans, LA 70115-6036 | 2017-12-05 |
| 1396255311 | Dialysis Clinic Inc | Clinic/Center | 2020 Bert Kouns Industrial Loop, Shreveport, LA 71118-3315 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 70447 |
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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.