ALONZO WILDER (NPI# 1881635878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881635878 |
| Entity Type | Individual |
| Full Name | ALONZO WILDER |
| Credential | PAC |
| Practice Address |
13960 Florida Blvd Livingston LA 70754 |
| Mailing Address |
Po Box 261166 Baton Rouge LA 70826-1166 |
| Practice Telephone | 2256860158 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | A10241 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1626716 | 05 |
| Street Address |
13960 FLORIDA BLVD |
| City | LIVINGSTON |
| State | LA |
| Zip Code | 70754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013995331 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 13960 Florida Blvd, Livingston, LA 70754-6340 | 2006-01-06 |
| 1598298119 | Rachel Brady | Family Medicine | 13960 Florida Blvd, Livingston, LA 70754 | 2017-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069953 | Brittany Comeaux | Speech-Language Pathologist | 29849 S Magnolia St, Livingston, LA 70754 | 2020-10-08 |
| 1306458575 | Georgia K Papizan | Licensed Practical Nurse | 13909 Florida Blve, Livingston, LA 70754 | 2020-08-19 |
| 1730708595 | Just Health | Clinic/Center | 20300 Government Blvd, Livingston, LA 70754 | 2020-04-13 |
| 1497244164 | Laura Ann Woods | Counselor | 29724 S. Magnolia St., Livingston, LA 70754 | 2018-05-08 |
| 1538685458 | Thrift Town Drugs LLC | Pharmacy | 29680 S Frost Rd, Livingston, LA 70754 | 2017-08-22 |
| 1982054714 | Aliah Esmaeili-taplin | Counselor | 29437 Hwy.63, Ste. 14, Livingston, LA 70754 | 2016-06-13 |
| 1427453745 | Elizabeth Ann Frazier | Nurse Practitioner | 28315 S. Frost Rd., Livingston, LA 70754 | 2014-10-29 |
| 1588081681 | Stewart Medical & Urgent Care, LLC | Clinic/Center | 29565 Hwy 63, Suite C, Livingston, LA 70754 | 2014-03-26 |
| 1861823379 | Primary Care Providers for A Healthy Feliciana Inc | Clinic/Center | 28315 S. Frost Rd, Livingston, LA 70754 | 2013-12-09 |
| 1851728497 | Shenadra A. Scrubbs | Social Worker | 29437 Highway 63, Ste. 14, Livingston, LA 70754 | 2013-09-27 |
| Find all providers in zip 70754 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172573 | Gurleen Kaur Atwal | Physician Assistant | 930 Misty Harbor Dr, Livingston, CA 95334-9212 | 2020-07-24 |
| 1255992178 | Olesya Solouk | Physician Assistant | 200 S Orange Ave Ste 295, Livingston, NJ 07039-5817 | 2019-06-21 |
| 1215446869 | Kiera Keller | Physician Assistant | 200 S Orange Ave Ste 170, Livingston, NJ 07039-5817 | 2017-09-27 |
| 1023399698 | Antonieta Silvia Acosta | Physician Assistant | 1106 5th St, Livingston, CA 95334-1228 | 2011-09-08 |
| 1477597144 | Neal Mageean | Physician Assistant | Old Short Hills Road, Saint Barnabas Medical Center, Livingston, NJ 07039 | 2006-06-15 |
| 1649214438 | Kevin Walsh | Physician Assistant | Saint Barnabas Medical Center, Old Short Hills Road, Livingston, NJ 07039 | 2006-06-15 |
| 1679513907 | Jennifer R Livingston | Physician Assistant | 309 Hwy 59 S. Loop, Livingston, TX 77351 | 2006-06-07 |
| 1679576045 | Sekhar Gopalan Iyer | Physician Assistant | 94 Old Short Hills Rd Rm 4225, Livingston, NJ 07039-5672 | 2005-05-31 |
| 1609482272 | Laura Alban | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-09-19 |
| 1881218907 | Victoria Anne Latella | Physician Assistant | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2020-06-04 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 70754 |
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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.