JOHN G. FASICK DPM LLC (NPI# 1710253836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710253836 |
| Entity Type | Organization |
| Organization Name | JOHN G. FASICK DPM LLC |
| Practice Address |
3901 Houma Blvd Suite 108 Metairie LA 70006-2930 |
| Practice Telephone | 5043011749 |
| Practice Fax Number | 5043019451 |
| Mailing Telephone | 5043011749 |
| Mailing Fax Number | 5043019451 |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |
| Authorized Official Name | DR. JOHN G FASICK II (MANAGER) |
| Authorized Official Telephone | 5043011749 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DPM.PD284R | LA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3901 HOUMA BLVD SUITE 108 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014131 | Century 2 Therapy Division Street Center, LLC | Rehabilitation Practitioner | 3901 Houma Blvd, Ste 113, Metairie, LA 70006-2930 | 2005-06-23 |
| 1942741848 | Berry's Community Services | Community/Behavioral Health | 3901 Houma Blvd, Metairie, LA 70006-2930 | 2017-03-13 |
| 1609312982 | Berrys Behavioral Health | Community/Behavioral Health | 3901 Houma Blvd, Ste 400, Metairie, LA 70006-2930 | 2017-01-11 |
| 1487040978 | Carol N. Fontenot Lcsw LLC | Social Worker | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2015-04-10 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1760766489 | Advanced Foot and Ankle Center LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2011-09-29 |
| 1538449772 | Tara S Rice | Nurse Practitioner | 3901 Houma Blvd, Ste. 202, Metairie, LA 70006-2930 | 2011-08-19 |
| 1598082083 | William Mark Caldwell | General Practice | 3901 Houma Blvd, #510, Metairie, LA 70006 | 2010-04-23 |
| 1821327651 | Metairie Health Center Inc | Family Medicine | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2009-12-07 |
| 1578796678 | New Millennium Medical Group Inc | Family Medicine | 3901 Houma Blvd, Suite 400, Metairie, LA 70006-2930 | 2009-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
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| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780939 | Louisiana Foot and Ankle Surgeons, LLC | Podiatrist | 401 Veterans Blvd Ste 207, Metairie, LA 70005-2957 | 2020-02-03 |
| 1396164679 | Beau Willis | Podiatrist | 2520 Harvard Ave, Metairie, LA 70001-1172 | 2014-04-15 |
| 1407184930 | Denise L Johnson | Podiatrist | 3939 Houma Blvd, Building 6, Suite 224, Metairie, LA 70006-2931 | 2009-11-20 |
| 1851545933 | Erin Mathews | Podiatrist | 3625 Houma Blvd, Jencare Neighborhood Medical Metairie, LLC, Metairie, LA 70006-4182 | 2008-11-16 |
| 1720256837 | Marc S. Glovinsky, Dpm, LLC | Podiatrist | 3939 Houma Blvd, Bldg. 6, Suite 224, Metairie, LA 70006-2931 | 2008-02-12 |
| 1952524522 | Zichichi Podiatry Clinic | Podiatrist | 3901 Houma Blvd, Suite 204, Metairie, LA 70006-2930 | 2007-04-11 |
| 1548290133 | Leon T Watkins | Podiatrist | 2520 Harvard Ave, Suite 2b, Metairie, LA 70001-1118 | 2006-07-03 |
| 1710933064 | Anthony Perry | Podiatrist | 2520 Harvard Ave, Ste. 2b, Metairie, LA 70001-1172 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043836166 | Thibodaux Regional Network Development Corporation | Podiatrist | 726 N Acadia Rd Ste 1700, Thibodaux, LA 70301-5051 | 2020-06-24 |
| 1326682089 | Center for Orthopaedics and Spine LLC | Podiatrist | 250 Beglis Pkwy Ste 1, Sulphur, LA 70663-3503 | 2019-11-05 |
| 1275063703 | Dr Rene J Hymel Dpm LLC | Podiatrist | 2101 Robin Ave Ste 11, Hammond, LA 70403-5773 | 2017-06-18 |
| 1205369840 | Christian Antonio Valle | Podiatrist | 3601 Desiard St, Monroe, LA 71203-4352 | 2017-04-11 |
| 1134576754 | Gabrielle Sharon Clark | Podiatrist | 10555 Lake Forest Blvd Ste 3a-b, New Orleans, LA 70127-5206 | 2016-05-24 |
| 1497141311 | Pelican State Foot & Ankle Care LLC | Podiatrist | 1938 Jackson St, Alexandria, LA 71301-6437 | 2015-04-07 |
| 1013328996 | The Foot and Ankle Clinic of West Monroe, LLC | Podiatrist | 2269 Arkansas Road, West Monroe, LA 71291 | 2014-05-14 |
| 1457773863 | Edugie Valentine Omoregbee | Podiatrist | 203 W Brentwood Blvd Ste 2, Lafayette, LA 70506-6190 | 2014-01-20 |
| 1245503119 | Gentry Haughton LLC | Podiatrist | 600 Unadilla St, Shreveport, LA 71106-1242 | 2012-02-22 |
| 1730498437 | Noah Gene Oliver | Podiatrist | 127 Rue Louis Xiv Ste 101, Lafayette, LA 70508-5738 | 2010-09-28 |
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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.