DIABETES & OBESITY CONTROL LLC (NPI# 1841642717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841642717 |
| Entity Type | Organization |
| Organization Name | DIABETES & OBESITY CONTROL LLC |
| Practice Address |
176 Longville Church Rd Longville LA 70652-5036 |
| Practice Telephone | 3375646605 |
| Practice Fax Number | 3374333013 |
| Mailing Telephone | 3375646605 |
| Mailing Fax Number | 3374333013 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Authorized Official Name | KATHY L TRACY (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3375646605 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
176 LONGVILLE CHURCH RD |
| City | LONGVILLE |
| State | LA |
| Zip Code | 70652-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255070 | Kathy Lynne Tracy | General Practice | 176 Longville Church Rd, Longville, LA 70652-5036 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689126658 | Beauregard Medical Group LLC | Clinic/Center | 12186 Highway 171, Longville, LA 70652 | 2016-10-26 |
| 1861776957 | Laura Ellen Neely | Speech-Language Pathologist | 10619 Highway 171, Longville, LA 70652-4112 | 2011-10-06 |
| 1790086445 | Marguerite L Meaux | Registered Nurse | 275 Log Cabin Ln, Longville, LA 70652-4222 | 2010-11-11 |
| 1730455825 | David Vizinat | Nurse Practitioner | 12186 Highway 171, Longville, LA 70652-4625 | 2012-03-22 |
| 1427496462 | South Beauregard Health Center, L.L.C. | Clinic/Center | 12186 Highway 171, Longville, LA 70652-4625 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548624778 | Nis Pharmacy Services, Ltd | Pharmacy | 1472 Cty Rd 5, Longville, MN 56655 | 2016-04-13 |
| 1083053292 | Gary F Wehrwein | Pharmacist | 1523 Suzanne Drive Ne, Longville, MN 56484 | 2013-06-20 |
| 1104260868 | Nis Pharmacy Services Ltd | Pharmacy | 1472 County Road 5, Longville, MN 56655-3002 | 2013-04-24 |
| 1730455825 | David Vizinat | Nurse Practitioner | 12186 Highway 171, Longville, LA 70652-4625 | 2012-03-22 |
| 1861776957 | Laura Ellen Neely | Speech-Language Pathologist | 10619 Highway 171, Longville, LA 70652-4112 | 2011-10-06 |
| 1790086445 | Marguerite L Meaux | Registered Nurse | 275 Log Cabin Ln, Longville, LA 70652-4222 | 2010-11-11 |
| 1760446868 | David W Laposky | Family Medicine | 180 Jordan Lane, Longville, MN 56655 | 2006-04-14 |
| 1629052584 | Elizabeth Ann Miles | Nurse Practitioner | 180 Jordan Ln, Longville Lakes Clinic, Longville, MN 56655 | 2005-12-05 |
| 1689126658 | Beauregard Medical Group LLC | Clinic/Center | 12186 Highway 171, Longville, LA 70652 | 2016-10-26 |
| 1427496462 | South Beauregard Health Center, L.L.C. | Clinic/Center | 12186 Highway 171, Longville, LA 70652-4625 | 2013-06-12 |
| Find all providers in LONGVILLE | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255070 | Kathy Lynne Tracy | General Practice | 176 Longville Church Rd, Longville, LA 70652-5036 | 2006-05-24 |
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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.