WALDHEIM FAMILY PRACTICE CLINIC (NPI# 1811183221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811183221 |
| Entity Type | Organization |
| Organization Name | WALDHEIM FAMILY PRACTICE CLINIC |
| Practice Address |
77173 Highway 21 Covington LA 70435-4011 |
| Practice Telephone | 9858930486 |
| Practice Fax Number | 9858930349 |
| Mailing Telephone | 9858930486 |
| Mailing Fax Number | 9858930349 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | DR. RICHARD J SANDERS JR. (PHYSICIAN) |
| Authorized Official Telephone | 9858930486 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 017339 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
77173 HIGHWAY 21 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70435-4011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707842 | Ashlee L Poolson | Pharmacist | 73626 La-25, Covington, LA 70435 | 2015-08-04 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1477671816 | Suzanne Christine Cristodero | Speech-Language Pathologist | 22350 Hwy 1084, Covington, LA 70435 | 2007-03-26 |
| 1598881625 | Richard Glen Spell | Dentist | 79132 Hwy 40, Covington, LA 70435 | 2007-03-21 |
| 1609950518 | Susanne O. Core | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2006-10-25 |
| 1366725582 | Susanne O. Core Dmd Pdc Family Dentistry | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2011-09-23 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| 1508212036 | Nicholas Jake Foto Jr. | Student in an Organized Health Care Education/Training Program | 22360 Longleaf Dr, Covington, LA 70435-0225 | 2016-05-13 |
| 1013434018 | Anh Thi Phuong Tran | Pharmacist | 437 Saddlebrook Ct, Covington, LA 70435-0530 | 2017-08-29 |
| Find all providers in zip 70435 | ||||
| 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 |
|---|---|---|---|---|
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1750878641 | Cynthia Diane Brown | Family Medicine | 926 Spring St, Covington, KY 41016-1655 | 2018-04-17 |
| 1194179101 | Joseph Andrew Freeman | Family Medicine | 1995 Highway 51 S Ste 204, Covington, TN 38019-3655 | 2016-04-15 |
| 1124415799 | Alliance Xpress Care LLC | Family Medicine | 919 S Craig Ave Ste A, Covington, VA 24426-1954 | 2015-04-22 |
| 1831597103 | Dr Andrew Malinchak Inc | Family Medicine | 4128 Highway 278 Ne, Covington, GA 30014-2494 | 2014-12-18 |
| 1790045938 | Sarah Lynn Green | Family Medicine | 1999 Highway 51 South, Suite A, Covington, TN 38019-3630 | 2012-05-22 |
| 1821355637 | Keisha D'andrea Harvey | Family Medicine | 70124 3rd St, Covington, LA 70433-8407 | 2012-04-18 |
| 1700185519 | Smitty Smith | Family Medicine | 874 Woodsprings Ct, Covington, LA 70433-7489 | 2011-03-18 |
| 1336460880 | John D Molesky Do Inc | Family Medicine | 550 Mote Dr Ste 2, Covington, OH 45318-1273 | 2010-06-18 |
| 1871824177 | Michael John Haas | Family Medicine | 72385 Industry Park Rd, Covington, LA 70435-8607 | 2010-01-26 |
| Find all providers in COVINGTON | ||||
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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.