ADVANCED FOOT AND ANKLE CENTER LLC (NPI# 1760766489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760766489 |
| Entity Type | Organization |
| Organization Name | ADVANCED FOOT AND ANKLE CENTER LLC |
| Practice Address |
3901 Houma Blvd Suite 108 Metairie LA 70006-2930 |
| Practice Telephone | 5044512469 |
| Mailing Telephone | 5044512469 |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2011-09-29 |
| Authorized Official Name | DR. JOHN GIBSON FASICK (COPRESIDENT) |
| Authorized Official Telephone | 5044512469 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PD284R | LA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3901 HOUMA BLVD SUITE 108 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014131 | Century 2 Therapy Division Street Center, LLC | Rehabilitation Practitioner | 3901 Houma Blvd, Ste 113, Metairie, LA 70006-2930 | 2005-06-23 |
| 1942741848 | Berry's Community Services | Community/Behavioral Health | 3901 Houma Blvd, Metairie, LA 70006-2930 | 2017-03-13 |
| 1609312982 | Berrys Behavioral Health | Community/Behavioral Health | 3901 Houma Blvd, Ste 400, Metairie, LA 70006-2930 | 2017-01-11 |
| 1487040978 | Carol N. Fontenot Lcsw LLC | Social Worker | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2015-04-10 |
| 1710253836 | John G. Fasick Dpm LLC | Podiatrist | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2012-03-23 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1538449772 | Tara S Rice | Nurse Practitioner | 3901 Houma Blvd, Ste. 202, Metairie, LA 70006-2930 | 2011-08-19 |
| 1598082083 | William Mark Caldwell | General Practice | 3901 Houma Blvd, #510, Metairie, LA 70006 | 2010-04-23 |
| 1821327651 | Metairie Health Center Inc | Family Medicine | 3901 Houma Blvd, Suite 108, Metairie, LA 70006-2930 | 2009-12-07 |
| 1578796678 | New Millennium Medical Group Inc | Family Medicine | 3901 Houma Blvd, Suite 400, Metairie, LA 70006-2930 | 2009-08-24 |
| Find all providers in the same location | ||||
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720352727 | Panepinto Podiatry, LLC | Podiatrist | 1801 Clearview Pkwy, Metairie, LA 70001-2451 | 2012-03-08 |
| 1992020614 | Foot Health Center LLC | Podiatrist | 1521 N. Causeway Blvd, Suite A, Metairie, LA 70001 | 2010-04-06 |
| 1558425033 | Joseph Anthony Delucca | Podiatrist | 3101 Ridgelake Dr, Metairie, LA 70002-4926 | 2006-12-20 |
| 1427003284 | Rory Paul Panepinto | Podiatrist | 1801 Clearview Parkway, Metairie, LA 70001 | 2006-05-23 |
| 1619977022 | Terry Allan Freiberg | Podiatrist | 2921 David Dr, Metairie, LA 70003 | 2005-07-28 |
| 1538643697 | Zachary Dylan Lamkin | Podiatrist | 4200 Houma Blvd, Metairie, LA 70006-2970 | 2018-09-24 |
| 1275885295 | Amber Breaux Poirot | Podiatrist | 4300 Houma Blvd, Ste 108, Metairie, LA 70006-2922 | 2012-10-15 |
| 1255687885 | Robert Marroquin Jr. | Podiatrist | 2005 Veterans Memorial Blvd, Metairie, LA 70002-6320 | 2012-08-01 |
| 1023384955 | Celia Lee Storey | Podiatrist | 3939 Houma Blvd, Bldg. 6, Suite 224, Metairie, LA 70006-2931 | 2012-03-26 |
| 1649563008 | Gulf South Foot & Ankle, LLC | Podiatrist | 2520 Harvard Ave, Suite 2b, Metairie, LA 70001-1118 | 2011-05-18 |
| Find all providers in METAIRIE | ||||
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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.