BEAUREGARD HEMATOLOG & ONCOLOGY (NPI# 1821419334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821419334 |
| Entity Type | Organization |
| Organization Name | BEAUREGARD HEMATOLOG & ONCOLOGY |
| Practice Address |
301 S. Washington St. Ste B Deridder LA 70634 |
| Practice Telephone | 3374634777 |
| Practice Fax Number | 3374634770 |
| Mailing Telephone | 3374634777 |
| Mailing Fax Number | 3374634770 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | NANCY G. KENNEDY (PRACTICE MANAGER) |
| Authorized Official Telephone | 3374634777 |
| Authorized Official Credential | PRACTICE MANAGER |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAUREGARD HEMATOLOGY & ONCOLOGY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD206603 | LA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | MD206603 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
301 S. WASHINGTON ST. STE B |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| 1770777385 | Robbie Suire | Social Worker | 103 Port St., Deridder, LA 70634 | 2007-08-28 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750352399 | Henry Sproles Carter | Internal Medicine | 305 W 7th St, Ste C, Deridder, LA 70634-4913 | 2006-01-31 |
| 1447238266 | Thomas E Dobbins | Internal Medicine | 325 W 8th St, Deridder, LA 70634-5505 | 2006-01-03 |
| 1053399873 | John T Griffin | Internal Medicine | 501 S Pine St, Deridder, LA 70634-4939 | 2006-01-03 |
| 1538153002 | Steven C Farquhar | Internal Medicine | 495 W 8th St, Deridder, LA 70634-5507 | 2005-09-09 |
| 1417352964 | Thomas E Dobbins Md Professional LLC | Internal Medicine | 325 W 8th St, Deridder, LA 70634-5505 | 2014-10-27 |
| 1588964175 | Beauregard Internal Medicine Center, LLC | Internal Medicine | 495 W 8th St, Deridder, LA 70634-5507 | 2010-10-28 |
| 1841420437 | Henry S Carter, Md LLC | Internal Medicine | 305 W 7th St, Suite C, Deridder, LA 70634-4982 | 2009-07-17 |
| 1417118084 | Kufoy Medical Clinic | Internal Medicine | 311 S Pine St, Deridder, LA 70634-4837 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1861002958 | Ochsner Clinic LLC | Internal Medicine | 1051 Gause Blvd Ste 380, Slidell, LA 70458-2997 | 2020-08-04 |
| 1477178804 | Enclave Health Plus LLC | Internal Medicine | 327 Jefferson Oaks Dr, Ruston, LA 71270-7080 | 2020-06-11 |
| 1518581305 | Ochsner Clinic LLC | Internal Medicine | 10150 Bluebonnet Blvd, Baton Rouge, LA 70810-7131 | 2020-06-08 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
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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.