INGRID K. ROSKOS, MD, AMPC (NPI# 1811028582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811028582 |
| Entity Type | Organization |
| Organization Name | INGRID K. ROSKOS, MD, AMPC |
| Practice Address |
1150 Robert Blvd Suite 360 Slidell LA 70458-2004 |
| Practice Telephone | 9857814848 |
| Practice Fax Number | 9857814850 |
| Mailing Telephone | 9857814848 |
| Mailing Fax Number | 9857814850 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | DR. INGRID KARIN ROSKOS (OWNER) |
| Authorized Official Telephone | 9857814848 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD.14651R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CLIA | 19D0964187 | 01 |
| MS | 05927851 | 05 | |
| LA | 1128767 | 05 | |
| MS | BCBS OF MS PROVIDER NUMBER | 457756369 | 01 |
| LA | BCBS OF LA PROVIDER NUMBER | 4577563690 | 01 |
| Street Address |
1150 ROBERT BLVD SUITE 360 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950346 | Madaelil George Thomas | Specialist | 1150 Robert Blvd, Suite 340, Slidell, LA 70458-2004 | 2005-05-24 |
| 1861006777 | Ochsner Clinic LLC | Internal Medicine | 1150 Robert Blvd, Slidell, LA 70458-2004 | 2020-09-08 |
| 1124592852 | Travis Mark Dauzat Sr. | Specialist/Technologist, Other | 1150 Robert Blvd, Slidell, LA 70458-2004 | 2019-01-16 |
| 1053843292 | Stacy Blackwell Maggio | Specialist/Technologist, Other | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2004 | 2017-03-28 |
| 1821458134 | James C Butler | Exclusive Provider Organization | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2005 | 2016-02-29 |
| 1942675053 | Carmen N. Daddona | Specialist/Technologist, Other | 1150 Robert Blvd, Suite 240, Slidell, LA 70458-2004 | 2015-12-01 |
| 1679909873 | Matthew Joseph Bassett | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2013-09-19 |
| 1730446014 | Li Sun | Internal Medicine | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2004 | 2012-04-11 |
| 1568764124 | Northlake Cardiology Diagnostics LLC | Specialist | 1150 Robert Blvd, Suite 340, Slidell, LA 70458-2004 | 2010-12-02 |
| 1164730495 | Zane Ashton Kirby | Physician Assistant | 1150 Robert Blvd, Suite 100, Slidell, LA 70458-2005 | 2010-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154616134 | James Sibley Holmes | Obstetrics & Gynecology | 107 Mary Ellen Dr, Slidell, LA 70460 | 2011-06-17 |
| 1821156175 | Peter Hertzak, M.d., Pmc | Obstetrics & Gynecology | 985 Robert Blvd., Suite 105, Slidell, LA 70458 | 2006-12-05 |
| 1750484887 | David Bruce Hebert | Obstetrics & Gynecology | 2364 Gause Blvd, Slidell, LA 70461-4141 | 2006-09-06 |
| 1033142005 | Meredith Joann Hixson | Obstetrics & Gynecology | 700 Gause Blvd Ste 206, Slidell, LA 70458-2853 | 2006-07-10 |
| 1811124290 | Meredith J Hixson, Md., Apmc | Obstetrics & Gynecology | 700 Gause Blvd Ste 206, Slidell, LA 70458-2853 | 2009-06-12 |
| 1457522419 | Melissa W. Smith, M.d., LLC | Obstetrics & Gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2004 | 2008-03-18 |
| 1891972410 | Adela' Marie Narcisse | Obstetrics & Gynecology | 105 Medical Center Dr, Suite #303, Slidell, LA 70461-5544 | 2008-01-25 |
| 1114118932 | Melissa Welch Smith | Obstetrics & Gynecology | 1150 Robert Blvd, Ste.360, Slidell, LA 70458-2004 | 2007-08-06 |
| 1184634040 | Camellia City Obstetrics and Gynecology | Obstetrics & Gynecology | 1150 Robert Blvd, Suite 360, Slidell, LA 70458-2004 | 2006-08-09 |
| 1578502290 | Jason H Collins | Obstetrics & Gynecology | 2250 Gause Blvd E, Ste 200, Slidell, LA 70461 | 2006-06-06 |
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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.