WEST JEFFERSON PHYSICIAN SERVICES (NPI# 1831266162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831266162 |
| Entity Type | Organization |
| Organization Name | WEST JEFFERSON PHYSICIAN SERVICES |
| Other Organization Name | FAMILY DOCTORS |
| Practice Address |
5140 Church St Lafitte LA 70067-5256 |
| Practice Telephone | 5043496525 |
| Practice Fax Number | 5043496529 |
| Mailing Telephone | 5043496525 |
| Mailing Fax Number | 5043496529 |
| Enumeration Date | 2006-11-30 |
| 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 |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 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 |
| 1669549283 | West Jefferson Physician Services | Pediatrics | 1111 Medical Center Blvd, Suite S650, Marrero, LA 70072-3151 | 2006-11-29 |
| 1790850774 | West Jefferson Physician Services | Family Medicine | 3909 Lapalco Blvd, Suite 100, Harvey, LA 70058-2302 | 2006-11-22 |
| 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 |
5140 CHURCH ST |
| City | LAFITTE |
| State | LA |
| Zip Code | 70067-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337778 | Quynh T Lu-lewis | Family Medicine | 5140 Church St, Suite 100, Lafitte, LA 70067-5256 | 2005-09-21 |
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
| 1467794511 | Elizabeth Ponder | Dentist | 5140 Church St, Lafitte, LA 70067-5256 | 2013-03-26 |
| 1467792713 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2013-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992852636 | Tewelde's Lafitte Drugs | Pharmacist | 2695 Jean Lafitte Blvd, Lafitte, LA 70067 | 2007-01-04 |
| 1386276327 | Courtney Leigh Pellegrin | Specialist/Technologist | 533 Mathew St, Lafitte, LA 70067-5117 | 2020-02-07 |
| 1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276327 | Courtney Leigh Pellegrin | Specialist/Technologist | 533 Mathew St, Lafitte, LA 70067-5117 | 2020-02-07 |
| 1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
| 1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1992852636 | Tewelde's Lafitte Drugs | Pharmacist | 2695 Jean Lafitte Blvd, Lafitte, LA 70067 | 2007-01-04 |
| 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 |
|---|---|---|---|---|
| 1356337778 | Quynh T Lu-lewis | Family Medicine | 5140 Church St, Suite 100, Lafitte, LA 70067-5256 | 2005-09-21 |
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|---|---|---|---|---|
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| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
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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.