WEST JEFFERSON PHYSICIAN SERVICES (NPI# 1790850774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790850774 |
| Entity Type | Organization |
| Organization Name | WEST JEFFERSON PHYSICIAN SERVICES |
| Other Organization Name | FAMILY DOCTORS |
| Practice Address |
3909 Lapalco Blvd Suite 100 Harvey LA 70058-2302 |
| Practice Telephone | 5043496900 |
| Practice Fax Number | 5043404305 |
| Mailing Telephone | 5043496900 |
| Mailing Fax Number | 5043404305 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | HEIDI A GWINN (CREDENTIALING COORD.) |
| Authorized Official Telephone | 5043491297 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1942545 | 05 |
| Other Name | Type Code |
|---|---|
| Family Doctors | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780015784 | West Jefferson Physician Services | Nutritionist | 1121 Medical Center Blvd., West Jefferson Fitness Center, Marrero, LA 70072 | 2013-12-02 |
| 1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
| 1669549283 | West Jefferson Physician Services | Pediatrics | 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 | 2006-11-29 |
| 1053486043 | West Jefferson Physician Services | Internal Medicine | 1111 Medical Center Blvd, Suite S850, Marrero, LA 70072-3151 | 2006-11-22 |
| 1114092194 | West Jefferson Physician Services | Internal Medicine | 2845 Manhattan Blvd, Harvey, LA 70058-2987 | 2006-11-22 |
| 1457426439 | West Jefferson Physician Services | Family Medicine | 175 Hector Ave, Gretna, LA 70056-2590 | 2006-11-22 |
| Street Address |
3909 LAPALCO BLVD SUITE 100 |
| City | HARVEY |
| State | LA |
| Zip Code | 70058-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060538 | New Orleans Dental Center | Dentist | 3909 Lapalco Blvd, Suite 202, Harvey, LA 70058-2302 | 2005-08-17 |
| 1063874410 | Eric Fernandez | Family Medicine | 3909 Lapalco Blvd, Harvey, LA 70058-2302 | 2016-03-24 |
| 1306262167 | Matthew Luis Valdes | Nurse Practitioner | 3909 Lapalco Blvd, Ste. 200, Harvey, LA 70058-2302 | 2014-03-17 |
| 1811236037 | Yong M Tan | Nurse Practitioner | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2013-02-07 |
| 1477781201 | Sherida L Jackson | Nurse Practitioner | 3909 Lapalco Blvd, Ste 200, Harvey, LA 70058-2302 | 2009-07-01 |
| 1407082175 | Manoj K Biswas | Obstetrics & Gynecology | 3909 Lapalco Blvd, 200, Harvey, LA 70058-2302 | 2009-06-08 |
| 1871744854 | Tracy B Bourg | Nurse Practitioner | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2008-10-08 |
| 1225156755 | Dwight David Landry | Dentist | 3909 Lapalco Blvd, Suite 202, Harvey, LA 70058 | 2007-03-26 |
| 1942362389 | The Woman's Clinic of Marrero Inc | Obstetrics & Gynecology | 3909 Lapalco Blvd, Ste 200, Harvey, LA 70058-2302 | 2006-12-14 |
| 1114092673 | Angela S Miserendino | Nurse Practitioner | 3909 Lapalco Blvd, Ste. 200, Harvey, LA 70058-2302 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853003 | Carmen Nikita Ward-lewis | Counselor | 1901 Manhattan Blvd, Building D, Suite 104, Harvey, LA 70058 | 2020-02-19 |
| 1275023087 | Michael Ellis | Counselor | 3820 Melissa Dr, Harvey, LA 70058 | 2018-05-16 |
| 1316436447 | Affiliated Heart2heart Homecare Services, Inc. | In Home Supportive Care | 1901 Westbank Expy Ste 600, Harvey, LA 70058 | 2018-05-03 |
| 1720595804 | Alkeisha Lachelle Clark | Counselor | 4209 L Ac Couture Dr., D, Harvey, LA 70058 | 2018-01-10 |
| 1659888253 | Kevin A Velasquez | Psychologist | 81 Lake Lynn Dr, Harvey, LA 70058 | 2018-01-04 |
| 1629582937 | Tessie Hart | Counselor | 426 Manhattan Blvd., Harvey, LA 70058 | 2017-11-22 |
| 1326557562 | Lauretta Anne Gavin | Counselor | 2439 Manhattan Blvd., Suite 207, Harvey, LA 70058 | 2017-09-20 |
| 1760908792 | Eboni Dillon | Counselor | 3148 Keith Way Dr, Harvey, LA 70058 | 2017-08-22 |
| 1194246207 | Shawn Galmore | Counselor | 2808 Keithway Dr, Harvey, LA 70058 | 2017-06-28 |
| 1750811345 | Elite Learning Academy | Private Vehicle | 1913 Sugarloaf Drive, Harvey, LA 70058 | 2017-06-15 |
| Find all providers in zip 70058 | ||||
| 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 |
|---|---|---|---|---|
| 1972154904 | Domonique Mccall | Family Medicine | 2252 Snowbird Dr, Harvey, LA 70058-5433 | 2019-09-20 |
| 1740634740 | Meghan Gaddis | Family Medicine | 3413 W Parc Green St, Harvey, LA 70058-7043 | 2016-04-16 |
| 1831494434 | Sola Pain Centers, LLC | Family Medicine | 1650 Gretna Blvd Ste 8, Harvey, LA 70058-5426 | 2011-01-13 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1720156664 | Central Dakota Family Physicians, PC | Family Medicine | 922 Lincoln Ave, Harvey, ND 58341-1524 | 2006-11-30 |
| 1194736439 | Lisa Marie Lee | Family Medicine | 2000 Bradford Pl, Harvey, LA 70058-1419 | 2006-08-11 |
| 1770542003 | Michael Douglas Friley | Family Medicine | 2845 Manhattan Blvd., Harvey, LA 70058 | 2006-03-23 |
| 1285606665 | Alan R Lindemann | Family Medicine | 110 9th St E, Harvey, ND 58341-1503 | 2006-02-01 |
| 1063874410 | Eric Fernandez | Family Medicine | 3909 Lapalco Blvd, Harvey, LA 70058-2302 | 2016-03-24 |
| 1861707291 | Jerome Howard Buster | Family Medicine | 31 W 155th St, Harvey, IL 60426-3556 | 2010-08-10 |
| Find all providers in HARVEY | ||||
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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.