NEUROMEDICAL CLINIC OF CENLA,L.L.C. (NPI# 1760643670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760643670 |
| Entity Type | Organization |
| Organization Name | NEUROMEDICAL CLINIC OF CENLA,L.L.C. |
| Practice Address |
3311 Prescott Rd Suite 216 Alexandria LA 71301-3900 |
| Practice Telephone | 3184430490 |
| Practice Fax Number | 3184430690 |
| Mailing Telephone | 3184430490 |
| Mailing Fax Number | 3184430690 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | DR. GONZALO IVAR HIDALGO (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3184430490 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 025214 | LA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1108162 | 05 |
| Street Address |
3311 PRESCOTT RD SUITE 216 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232479 | Maan Younes | Internal Medicine | 3311 Prescott Rd, Ste 318, Alexandria, LA 71301-3984 | 2005-06-01 |
| 1124575253 | Hailey Weeks | Physician Assistant | 3311 Prescott Rd, Suite201, Alexandria, LA 71301-3900 | 2016-09-07 |
| 1619343548 | Courtney Allen | Physician Assistant | 3311 Prescott Rd, Suite 411, Alexandria, LA 71301-3900 | 2015-08-14 |
| 1245506617 | Sharhonda Alicia Biley | Obstetrics & Gynecology | 3311 Prescott Rd, Ste 410, Alexandria, LA 71301-3900 | 2012-03-29 |
| 1215201215 | Vincent D. Mallory Md., LLC | Clinic/Center | 3311 Prescott Rd, Suite 316, Alexandria, LA 71301-3900 | 2012-03-08 |
| 1548541386 | Alaina Christine Chicola | Nurse Practitioner | 3311 Prescott Rd, Suite 410, Alexandria, LA 71301-3900 | 2011-09-07 |
| 1487932406 | Interventional Pain of Cenla, LLC | Clinic/Center | 3311 Prescott Rd, Suite 311, Alexandria, LA 71301-3900 | 2011-07-25 |
| 1063710093 | Beckie Leigh Vincent | Nurse Practitioner | 3311 Prescott Rd, Suite 417, Alexandria, LA 71301-3900 | 2011-02-28 |
| 1255643383 | Central Louisiana Anesthesia and Pain Management Centre Apmc | Specialist | 3311 Prescott Rd, Suite 415, Alexandria, LA 71301-3900 | 2010-07-06 |
| 1902136328 | Alexandria Gastrointestinal Specialists, LLC | Internal Medicine | 3311 Prescott Rd, Suite 411, Alexandria, LA 71301-3900 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013144732 | Serenity Center | Preferred Provider Organization | 5615g Jackson Street Ext, Alexandria, LA 71303-2368 | 2009-06-20 |
| 1447458385 | New Horizons | Preferred Provider Organization | 3400 Jackson Street, Suite A, Alexandria, LA 71301 | 2007-07-03 |
| 1508875584 | Urgent Medical Care of Lake-ridge,inc. | Preferred Provider Organization | 7598 Telegraph Road, Alexandria, VA 22315-3829 | 2006-08-07 |
| 1609176205 | Change Is Coming | Preferred Provider Organization | 8226 Mcclelland Pl, Alexandria, VA 22309-1833 | 2010-10-28 |
| 1700085594 | New Horizons | Preferred Provider Organization | 3400 Jackson Street, Suite 4, Alexandria, LA 71301 | 2007-07-12 |
| 1770799363 | Rollins Home Medical,llc Dba Med First Medicalmedical | Preferred Provider Organization | 1401 Texas Ave, Suite C-d, Alexandria, LA 71301-4048 | 2007-05-14 |
| 1750462735 | Shiloh Family Medicine PC | Preferred Provider Organization | 5249 Duke St, Suite 102, Alexandria, VA 22304-2926 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293262 | Shyloh L Murphy | Preferred Provider Organization | 203 W Jefferson Ave, Bastrop, LA 71220-4543 | 2019-12-27 |
| 1407388432 | The Right Care | Preferred Provider Organization | 321 Westwood Dr, Crowley, LA 70526-3242 | 2017-03-29 |
| 1013466051 | Cognitive Development Center | Preferred Provider Organization | 316 Woodale Dr Apt 11, Monroe, LA 71203-2712 | 2016-10-03 |
| 1043663040 | Elocin of Greater New Orleans | Preferred Provider Organization | 3401 Saint Claude Ave, New Orleans, LA 70117-6144 | 2016-07-14 |
| 1104277854 | Butterfly Effects | Preferred Provider Organization | 5844 Bienvenue Ave, Marrero, LA 70072-4704 | 2016-06-23 |
| 1255791950 | Gwangis Conseling | Preferred Provider Organization | 308 Turtle Creek Ln, Saint Rose, LA 70087-3824 | 2016-02-24 |
| 1427415918 | Family Therapy and Wellness Consulting | Preferred Provider Organization | 418 Webb Ct, Minden, LA 71055-2649 | 2016-01-28 |
| 1346619137 | Affirmed Counseling Cent | Preferred Provider Organization | 4419 General Pershing St, New Orleans, LA 70125-3632 | 2015-09-22 |
| 1861861148 | Integrity Managed Care Systems | Preferred Provider Organization | 124 Nita St, New Iberia, LA 70563-2424 | 2015-09-17 |
| 1386990430 | Living Waters Community Ministry | Preferred Provider Organization | 803 N 48th St, Baton Rouge, LA 70802-1346 | 2012-07-26 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on NEUROMEDICAL CLINIC OF CENLA,L.L.C..
| 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.