PCG MEDICAL,LLC (NPI# 1811941487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811941487 |
| Entity Type | Organization |
| Organization Name | PCG MEDICAL,LLC |
| Practice Address |
3350 Ridgelake Dr Suite 200 Metairie LA 70002-3836 |
| Mailing Address |
3350 Ridgelake Dr Suite Number 200 Metairie LA 70002-3831 |
| Practice Telephone | 5048363899 |
| Practice Fax Number | 5043240900 |
| Mailing Telephone | 5048363899 |
| Mailing Fax Number | 5043240900 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-25 |
| Authorized Official Name | MR. DONALD R. SEIFEL JR. (TRUSTEE) |
| Authorized Official Telephone | 8605488676 |
| Is Organization Subpart | Y |
| Parent Organization Name | PCG MEDICAL REVOCABLE TRUST DATE AUGUST 3, 2005 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1529273 | 05 |
| Street Address |
3350 RIDGELAKE DR SUITE 200 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922350784 | Sarah S Hinshaw-fuselier | Social Worker | 3350 Ridgelake Dr, Suite 200, Metairie, LA 70002-3836 | 2012-10-03 |
| 1780964726 | Tots&teenseyecare | Ophthalmology | 3350 Ridgelake Dr, Suite 200, Metairie, LA 70002-3836 | 2011-08-22 |
| 1730477050 | Susan Falcon, Lcsw, L.L.C. | Social Worker | 3350 Ridgelake Dr, Ste. 213, Metairie, LA 70002-3836 | 2011-07-20 |
| 1215233663 | Karen Vanbeyer | Social Worker | 3350 Ridgelake Dr, Suite 200, Metairie, LA 70002-3836 | 2011-02-02 |
| 1477787588 | William Buck Taylor IIi | Occupational Therapist | 3350 Ridgelake Dr, Suite 29, Metairie, LA 70002-3836 | 2009-05-05 |
| 1184860009 | Communication & Learning Services LLC | Speech-Language Pathologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2008-12-23 |
| 1568668242 | Lakeside Counseling Center | Community/Behavioral Health | 3350 Ridgelake Dr, Suite 86, Metairie, LA 70002-3836 | 2007-06-21 |
| 1528193232 | Michael Clark Norman | Speech-Language Pathologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2007-02-22 |
| 1699800300 | Christina A Lambert | Speech-Language Pathologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2007-02-22 |
| 1013057967 | Katherine A Robison | Psychologist | 3350 Ridgelake Dr, Suite 100, Metairie, LA 70002-3836 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982164703 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4200 Houma Blvd Ste 150, Metairie, LA 70006-2970 | 2019-03-20 |
| 1952868515 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 3445 N Causeway Blvd Ste 601, Metairie, LA 70002-3750 | 2019-03-01 |
| 1932699832 | Adapthealth Patient Care Solutions Inc. | Durable Medical Equipment & Medical Supplies | 3445 N Causeway Blvd Ste 202, Metairie, LA 70002-3714 | 2018-05-16 |
| 1710403480 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 800 Metairie Rd Ste D, Metairie, LA 70005-4043 | 2017-08-15 |
| 1215353305 | Compcare Health, LLC | Durable Medical Equipment & Medical Supplies | 3613 Hessmer Ave, Suite 100, Metairie, LA 70002-4732 | 2014-03-12 |
| 1346673324 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 David Dr, Metairie, LA 70003-5118 | 2013-08-14 |
| 1639417785 | Patient Care Medical Devices LLC | Durable Medical Equipment & Medical Supplies | 4901 Henican Pl, Metairie, LA 70003-1115 | 2013-01-24 |
| 1700124351 | Specialty Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 106 Metairie Lawn Dr Ste 220, Metairie, LA 70001-5467 | 2013-01-16 |
| 1013201516 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4607 Veterans Memorial Blvd, Metairie, LA 70006-5323 | 2011-06-02 |
| 1336398940 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 2005 Veterans Blvd, Metairie, LA 70002-6320 | 2008-09-18 |
| 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.