DR. VANESSA CORTES DE JORGE (NPI# 1760794895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760794895 |
| Entity Type | Individual |
| Full Name | DR. VANESSA CORTES DE JORGE |
| Credential | MD |
| Practice Address |
2807 S Columbia St Bogalusa LA 70427-7915 |
| Mailing Address |
1200 12th Ave S Suite 901 Seattle WA 98144-2712 |
| Practice Telephone | 8665306111 |
| Practice Fax Number | 2064618542 |
| Mailing Telephone | 2065483114 |
| Mailing Fax Number | 2067626355 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60715630 | WA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | M-12635 | ID | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 242220 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2807 S COLUMBIA ST |
| City | BOGALUSA |
| State | LA |
| Zip Code | 70427-7915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659820181 | Jennifer Heausler Creech | Nurse Practitioner | 2807 S Columbia St, Bogalusa, LA 70427-7915 | 2016-09-26 |
| 1427488352 | Access Health Louisiana | Family Medicine | 2807 S Columbia St, Bogalusa, LA 70427-7915 | 2013-11-13 |
| 1073880365 | Rogelio A. Casama, Md, Apmc | Internal Medicine | 2807 S Columbia St, Bogalusa, LA 70427-7915 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116368 | Lori Polk | Social Worker | 1640 S. Columbia St., Bogalusa, LA 70427 | 2020-05-19 |
| 1366914400 | Cherie Campbell | Case Manager/Care Coordinator | 311 Louisiana Avenue, Bogalusa, LA 70427 | 2018-12-31 |
| 1184134900 | Danielle Magee-keys | Counselor | 438 Ave U, Bogalusa, LA 70427 | 2017-10-06 |
| 1235656950 | House of Love, LLC | Foster Care Agency | 905 Davenport Ave, Bogalusa, LA 70427 | 2017-08-23 |
| 1811426315 | Shinetra Nicole Partman | Licensed Practical Nurse | 2106 Ave F, Bogalusa, LA 70427 | 2017-06-08 |
| 1265984082 | Behaviroal Health &wellness LLC | Community/Behavioral Health | 302 Richmond Street Suite A, Bogalousa, LA 70427 | 2016-10-27 |
| 1871942888 | Barry Warris Bolton | Community Health Worker | 712b Louisiana Ave, Bogalusa, LA 70427 | 2016-06-09 |
| 1376882696 | Judy Gail Jacobs | Licensed Practical Nurse | 619 Willis Avenue, Bogalusa Mental Health Center, Bogalusa, LA 70427 | 2013-02-06 |
| 1477836922 | Tuyet Le | Pharmacist | 329 Superior Avenue, Bogalusa, LA 70427 | 2011-09-21 |
| 1164755286 | Lorene A Randazzo | Dietitian, Registered | 433 Palm St, Bogalusa, LA 70427 | 2009-09-08 |
| Find all providers in zip 70427 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336672823 | Cori Runfalo Sumrall | Family Medicine | 1616 S Columbia St Ste C, Bogalusa, LA 70427-5881 | 2017-04-11 |
| 1265971147 | Dr. K's Family Medicine | Family Medicine | 2781 S Columbia St, Suite A, Bogalusa, LA 70427-7962 | 2017-02-13 |
| 1851347710 | Vernon K Palmisano | Family Medicine | 420 Avenue F, Bogalusa, LA 70427-3634 | 2006-05-25 |
| 1396742318 | Victor Gaston Theriault | Family Medicine | 712 Willis Ave, Bogalusa, LA 70427-3004 | 2005-07-05 |
| 1396742508 | C Bryan Miller | Family Medicine | 433 Plaza St, Bogalusa, LA 70427-3729 | 2005-07-01 |
| 1598269920 | Terry Anthony Moran Jr. | Family Medicine | 420 Avenue F, Bogalusa, LA 70427-3634 | 2018-03-20 |
| 1043751365 | Jeremy Curtis Dornier | Family Medicine | 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 | 2017-03-20 |
| 1205296340 | Our Lady of The Angels Clinic | Family Medicine | 1416 Gobbler Head Dr, Bogalusa, LA 70427-6091 | 2016-03-02 |
| 1477940856 | Luther Sintim | Family Medicine | 420 Avenue F, Bogalusa, LA 70427-3634 | 2015-04-23 |
| 1538555792 | Krupa Gandhi | Family Medicine | 433 Plaza St, Bogalusa, LA 70427 | 2015-04-14 |
| Find all providers in BOGALUSA | ||||
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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.