SOUTHSHORE LUNG CENTER, LLC (NPI# 1750327201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750327201 |
| Entity Type | Organization |
| Organization Name | SOUTHSHORE LUNG CENTER, LLC |
| Practice Address |
4224 Houma Blvd Suite 600 Metairie LA 70006-2933 |
| Practice Telephone | 5044567456 |
| Practice Fax Number | 5044567453 |
| Mailing Telephone | 5044567456 |
| Mailing Fax Number | 5044567453 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2009-12-09 |
| Authorized Official Name | DR. MATTHEW L SCHUETTE (OWNER) |
| Authorized Official Telephone | 5044567456 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
019956 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE PTAN | 5C518 | 01 |
| Street Address |
4224 HOUMA BLVD SUITE 600 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182551 | Ellen B. Mclean | Pediatrics | 4224 Houma Blvd, Ste 240, Metairie, LA 70006-2935 | 2005-05-24 |
| 1720489313 | Kaavya Matatova Md LLC | Surgery | 4224 Houma Blvd, Suite 310, Metairie, LA 70006-2933 | 2014-09-15 |
| 1255762845 | Nicole Judice Jones | Clinical Nurse Specialist | 4224 Houma Blvd, Suite 530, Metairie, LA 70006-2933 | 2013-12-06 |
| 1023445160 | Urology-medical & Surgical A Medical Corporation | Specialist | 4224 Houma Blvd, Ste 620, Metairie, LA 70006-2933 | 2013-10-03 |
| 1306100987 | Alison L Stewart, Md Apmc | Obstetrics & Gynecology | 4224 Houma Blvd, Suite 140, Metairie, LA 70006-2933 | 2012-06-28 |
| 1144587288 | Katie Elizabeth Price | Pediatrics | 4224 Houma Blvd, Metairie, LA 70006-2933 | 2012-04-13 |
| 1720352388 | Wendy V. Jamison, Md, Apmc | Neuromusculoskeletal Medicine & OMM | 4224 Houma Blvd, Suite 350, Metairie, LA 70006-2933 | 2012-02-29 |
| 1346517646 | Richard D Marino, Md Apmc | Obstetrics & Gynecology | 4224 Houma Blvd, Ste. 570, Metairie, LA 70006-2933 | 2011-11-30 |
| 1679850317 | Eugene J Hoffman IIi, Md, Apmc | Obstetrics & Gynecology | 4224 Houma Blvd, Suite 140, Metairie, LA 70006-2933 | 2011-11-09 |
| 1609167501 | Bayou Pulmonary LLC | Internal Medicine | 4224 Houma Blvd, Suite 600, Metairie, LA 70006-2933 | 2011-04-26 |
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| 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 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1841228624 | Eugene Barry Rosenberg | Internal Medicine | 3609 N Arnoult Rd, Metairie, LA 70002-1562 | 2006-06-29 |
| 1356310650 | Kenneth B Smith | Internal Medicine | 4200 Houma Blvd Fl 3, Metairie, LA 70006-2970 | 2006-03-17 |
| 1679549836 | Henry A Jackson | Internal Medicine | 4224 Houma Blvd Ste 380, Metairie, LA 70006-2980 | 2006-02-27 |
| 1104803766 | James M Mccullough | Internal Medicine | 4228 Houma Blvd Ste 140, Metairie, LA 70006-3019 | 2005-12-26 |
| 1609167501 | Bayou Pulmonary LLC | Internal Medicine | 4224 Houma Blvd, Suite 600, Metairie, LA 70006-2933 | 2011-04-26 |
| 1972762144 | James M. Mccullough | Internal Medicine | 4228 Houma Blvd, Suite 140, Metairie, LA 70006-3000 | 2008-06-03 |
| 1144274374 | Jefferson Pulmonary Associates | Internal Medicine | 4200 Houma Blvd, 3rd Floor Respiratory Dept, Metairie, LA 70006-2970 | 2006-05-20 |
| 1356310783 | Thomas Gerard Nuttli Sr. | Internal Medicine | 4200 Houma Blvd, Fl 3, Metairie, LA 70006-2970 | 2006-03-16 |
| 1669448825 | Stephen M Layne | Internal Medicine | 4224 Houma Blvd, Suite 380, Metairie, LA 70006-2933 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997219 | Ramsy Assaf Abdelghani | Internal Medicine | 1415 Tulane Ave Fl 7, New Orleans, LA 70112-2600 | 2013-03-29 |
| 1770823098 | Emergency and Critical Care Services LLC | Internal Medicine | 8965 Highway 79, Greenwood, LA 71033-2721 | 2013-02-22 |
| 1104161843 | Christus Health and Lunn Pulmonology | Internal Medicine | 1455 E. Bert Kouns, Suite #202, Christus Health and Lunn Pulmonology, Shreveport, LA 71105 | 2012-12-06 |
| 1770872616 | Gbr, LLC | Internal Medicine | 155 Hospital Dr. Ste 101, Lafayette, LA 70503 | 2011-03-31 |
| 1992016133 | Andrea Rudomin Conant Lorio | Internal Medicine | 8120 Main Street, Suite 204, Houma, LA 70360 | 2010-06-22 |
| 1326208232 | Brian Jude Parker | Internal Medicine | 604 N Acadia Rd Ste 411, Thibodaux, LA 70301 | 2008-06-13 |
| 1841463114 | David Yoshi Patten | Internal Medicine | 3872 S Inwood Ave, New Orleans, LA 70131 | 2008-04-08 |
| 1750401022 | Richard C Hebert | Internal Medicine | 6267 Sevenoaks Ave, Baton Rouge, LA 70806-7301 | 2007-03-30 |
| 1982765947 | Roger Edmund Stueben | Internal Medicine | 1107 Audubon Ave, Suite B, Thibodaux, LA 70301 | 2006-12-13 |
| 1962593798 | Physicians of Sleep Associates LLC | Internal Medicine | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2006-09-27 |
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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.