DR. RAMA BOPPANA (NPI# 1750467718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750467718 |
| Entity Type | Individual |
| Full Name | DR. RAMA BOPPANA |
| Practice Address |
242 West Shamrock Street Pineville LA 71360 |
| Mailing Address |
6200 Tennyson Oaks Ln Alexandria LA 71301-2758 |
| Practice Telephone | 3184846814 |
| Mailing Telephone | 3184846814 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
12393R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1541371 | 05 |
| Street Address |
242 WEST SHAMROCK STREET |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710063763 | Vijaya L. Boppana | Psychiatry & Neurology | 242 West Shamrock Street, Pineville, LA 71360 | 2006-10-31 |
| 1427365600 | Shamrock Street Pharmacy | Community/Behavioral Health | 242 West Shamrock Street, Unit 2, Room 120, Pineville, LA 71360-6439 | 2010-09-09 |
| 1194845537 | Patricia Ann Johnson | Counselor | 242 West Shamrock Street, Pineville, LA 71360-6439 | 2007-03-30 |
| 1548300643 | Jose Eladio Colls | Counselor | 242 West Shamrock Street, Pineville, LA 71360 | 2007-02-07 |
| 1629118781 | Debra Louise Burton | Counselor | 242 West Shamrock Street, Pineville, LA 71360-6439 | 2007-02-07 |
| 1699829309 | Rebecca I Craig | Counselor | 242 West Shamrock Street, Pineville, LA 71360-0473 | 2007-01-22 |
| 1356495006 | Eric Shane Blair | Counselor | 242 West Shamrock Street, Pineville, LA 71360 | 2007-01-22 |
| 1023161247 | Dixie K Orris | Social Worker | 242 West Shamrock Street, Pineville, LA 71360 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003135138 | Capitol Clinical & Forensic Psychiatry, LLC | Psychiatry & Neurology | 240 L S U Ave, Baton Rouge, LA 70808-4636 | 2010-05-28 |
| 1972786978 | Susan E Uhrich Md Apllc | Psychiatry & Neurology | 4640 West Congress St., Lafayette, LA 70506 | 2007-12-12 |
| 1932309325 | Mehdi Qalbani | Psychiatry & Neurology | 400 Poydras St Ste 1950, New Orleans, LA 70130-3341 | 2007-07-23 |
| 1821124439 | Richard W Richoux | Psychiatry & Neurology | 601 N Carrollton Ave, Ste. D, New Orleans, LA 70119-4700 | 2007-02-26 |
| 1417018300 | Susan Michelle Garriga | Psychiatry & Neurology | 4914 Mcclelland Dr, Baton Rouge, LA 70805-3101 | 2006-12-13 |
| 1568541316 | Craig Joseph Troxclair | Psychiatry & Neurology | 719 Elysian Fields Ave, New Orleans, LA 70117-8511 | 2006-11-03 |
| 1952488223 | Patrick John Dowling | Psychiatry & Neurology | 1314 St Mary St, New Orleans, LA 70130 | 2006-11-01 |
| 1194815266 | James B Denney | Psychiatry & Neurology | 609 Brownswitch Rd, Slidell, LA 70458-1233 | 2006-10-12 |
| 1245240951 | Daphne Ann Glindmeyer | Psychiatry & Neurology | 611 Riverhighlands, Covington, LA 70433 | 2006-08-08 |
| 1649245069 | Donna M Mancuso | Psychiatry & Neurology | 1301 Antonine St, Suite 500, New Orleans, LA 70115-3601 | 2006-02-20 |
| 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.