MAIN STREET EMERGENCY GROUP LLC (NPI# 1750796041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750796041 |
| Entity Type | Organization |
| Organization Name | MAIN STREET EMERGENCY GROUP LLC |
| Practice Address |
2315 E Main St New Iberia LA 70560-4031 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2017-11-07 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2379186 | 05 |
| Street Address |
2315 E MAIN ST |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404909 | Richard Andrew Vanbergen | Radiology | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-02-06 |
| 1467013284 | Alyssa Marie Ledet | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-24 |
| 1184283236 | Christopher B Staggers | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-12 |
| 1285293464 | Rebekah J Schmieder | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2019-06-11 |
| 1841785102 | Wade Dewayne Alexander | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2018-06-28 |
| 1922529692 | Justin Rozas II | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2017-07-03 |
| 1821487059 | Dustin Seth Guillotte | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2015-01-12 |
| 1396150785 | Main Street Physician Services LLC | Physical Medicine & Rehabilitation | 2315 E Main St, New Iberia, LA 70560-4031 | 2014-06-25 |
| 1598190373 | Lorri Anne Price | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2013-09-11 |
| 1417389362 | Kathryn Frances Martin | Nurse Practitioner | 2315 E Main St, New Iberia, LA 70560-4031 | 2013-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730274200 | Michael Cotugno | Emergency Medicine | 600 N. Lewis Ave., New Iberia, LA 70563 | 2006-10-03 |
| 1366541336 | Robert Lecky | Emergency Medicine | 600 N. Lewis Ave, New Iberia, LA 70563 | 2006-09-22 |
| 1356455737 | Ross John Fremin | Emergency Medicine | 1115 Center St, New Iberia, LA 70560-6162 | 2006-08-19 |
| 1659369916 | Timothy A Viator | Emergency Medicine | 2308 E Main St, Suite A, New Iberia, LA 70560-4041 | 2005-10-11 |
| 1245640010 | Nes Louisiana Inc | Emergency Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2014-05-02 |
| 1013082502 | Jean Alice Friday | Emergency Medicine | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-11-21 |
| 1215036298 | Carolyn Green | Emergency Medicine | 1214 Coolidge Street, New Iberia, LA 70507 | 2006-09-22 |
| 1588771976 | Stephen James Ritter | Emergency Medicine | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-08-23 |
| 1336188762 | Atchafalaya Emergency Physicians | Emergency Medicine | 2315 E Main St, New Iberia, LA 70560-4031 | 2006-06-04 |
| 1821056607 | Paul Ovide Villien Jr. | Emergency Medicine | 600 N Lewis St, New Iberia, LA 70563-2043 | 2006-05-02 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
Please comment or provide details below to improve the information on MAIN STREET EMERGENCY GROUP LLC.
| 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.