DONALD SEVERINUS GERVAIS JR. (NPI# 1750387676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750387676 |
| Entity Type | Individual |
| Full Name | DONALD SEVERINUS GERVAIS JR. |
| Credential | M.D. |
| Practice Address |
128 Neuroscience Ct Gray LA 70359 |
| Mailing Address |
Po Box 1930 Gray LA 70359-1930 |
| Practice Telephone | 9859173007 |
| Practice Fax Number | 9859173010 |
| Mailing Telephone | 9859173007 |
| Mailing Fax Number | 9859173010 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2018-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD.022617 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1697508 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Longwood Dr, Thibodaux, LA 703018027 | 9857783148 | 8007860683 |
| 114 Neuroscience Ct, Gray, LA 703595209 | 9859173007 | 9859173010 |
| 4500 York St Ste 202, Metairie, LA 700011250 | 5046816701 | 9859173010 |
| Street Address |
128 NEUROSCIENCE CT |
| City | GRAY |
| State | LA |
| Zip Code | 70359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972509818 | Edward Stewart Haight | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2005-06-24 |
| 1518566025 | Taylor Michelle Tanner | Physician Assistant | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2020-10-26 |
| 1114530722 | Kallie E Landry | Physician Assistant | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2020-08-25 |
| 1215284963 | Jeanette L Naquin | Nurse Practitioner | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2012-08-13 |
| 1750467007 | Wendy Suddeth Gervais | Radiology | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2006-10-30 |
| 1285630129 | Southeast Neuroscience Center, LLC | Specialist | 128 Neuroscience Ct, Gray, LA 70359 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734785 | Cardiovascular Institute of The South Asc, LLC | Clinic/Center | 191 Innovation Court, Gray, LA 70359 | 2020-06-09 |
| 1265985915 | Gavin Triche | Physician Assistant | 128 Neuroscience Court, Gray, LA 70359 | 2016-07-29 |
| 1992939367 | Donna Marie Pugh | Health Maintenance Organization | 216 Champion St, Gray, LA 70359 | 2009-05-13 |
| 1700877297 | Ultrasound Enterprise LLC | Radiology | 165 Frontage Road, Suite B, Gray, LA 70359 | 2005-11-02 |
| 1083610364 | Imaging Center of South Louisiana, LLC | Radiology | 114 Neuroscience Court, Gray, LA 70359 | 2005-06-22 |
| 1114445194 | Teri Lynn Chatagnier | Counselor | 307 Lola St, Gray, LA 70359-3017 | 2017-08-30 |
| 1275039695 | Lashekia J Toussaint | Nurse Practitioner | 137 Marietta Pl, Gray, LA 70359-3119 | 2018-04-04 |
| 1063629772 | Tri-parish Orthopedic & Neurosurgical Institute,llc | Specialist | 115 Eureka Dr, Gray, LA 70359-3247 | 2007-05-16 |
| 1609125566 | Britany Keyon Jackson | Pharmacist | 309 Linda Ann Ave, Gray, LA 70359-3316 | 2012-09-06 |
| 1144612995 | Sade Verdin | Community/Behavioral Health | 3253 W Park Ave, Gray, LA 70359-3512 | 2015-03-02 |
| Find all providers in zip 70359 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689944563 | Gray Station Neurology, PC | Psychiatry & Neurology | 5583 Bobby Hicks Hwy, Suite 209, Gray, TN 37615-3281 | 2012-01-09 |
| 1972509818 | Edward Stewart Haight | Psychiatry & Neurology | 128 Neuroscience Ct, Gray, LA 70359-5209 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374746 | Neupro LLC | Psychiatry & Neurology | 17086 Abita Ave, Prairieville, LA 70769-3369 | 2020-07-23 |
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1881056778 | Miguel Federico Molina | Psychiatry & Neurology | 2912 Robert St, New Orleans, LA 70125-5033 | 2016-03-22 |
| 1750743621 | Jessica Chachere Baity | Psychiatry & Neurology | 1542 Tulane Ave Fl 7, New Orleans, LA 70112-2865 | 2016-03-22 |
| 1629451638 | Chaitanya Amrutkar | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2015-07-08 |
| 1962899872 | Tashfin Samiul Huq | Psychiatry & Neurology | 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301-5078 | 2015-04-17 |
| 1841684263 | Oliver Achi | Psychiatry & Neurology | 2312 E Main St Ste C, New Iberia, LA 70560-4064 | 2015-03-24 |
| 1104232289 | Martha Montgomery Robinson | Psychiatry & Neurology | 1430 Tulane Ave # 8065, New Orleans, LA 70112-2632 | 2014-07-09 |
| 1124439328 | Tanya Kapoor-maini | Psychiatry & Neurology | 120 Ochsner Blvd Ste 320, Gretna, LA 70056 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
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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.