CANAL STREET CARDIOLOGY (NPI# 1881640795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881640795 |
| Entity Type | Organization |
| Organization Name | CANAL STREET CARDIOLOGY |
| Practice Address |
2820 Canal St New Orleans LA 70119-6302 |
| Practice Telephone | 5042736137 |
| Practice Fax Number | 5043041927 |
| Mailing Telephone | 5042736137 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLENN MICHAEL JOHNSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5042736137 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1320293 | 05 |
| Street Address |
2820 CANAL ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438295 | Arnold B Alper | Legal Medicine | 2820 Canal St, Fl 1, New Orleans, LA 70119-6302 | 2005-06-23 |
| 1548734932 | Lindsey Latino Solar | Nurse Practitioner | 2820 Canal St, New Orleans, LA 70119-6302 | 2019-01-18 |
| 1649609397 | Lisa Grush | Nurse Practitioner | 2820 Canal St, New Orleans, LA 70119-6302 | 2013-11-04 |
| 1649527813 | Shawnette Louise Gaines | Nurse Practitioner | 2820 Canal St, 1st Floor, New Orleans, LA 70119-6302 | 2012-08-07 |
| 1467776088 | Orleans Cardiovascular Associates, LLC | Clinic/Center | 2820 Canal St, New Orleans, LA 70119-6302 | 2010-03-25 |
| 1407939259 | Frank E Wilklow | Internal Medicine | 2820 Canal St, 1st Floor, New Orleans, LA 70119-6302 | 2006-10-23 |
| 1538125174 | Gary Edward Sander | Internal Medicine | 2820 Canal St, New Orleans, LA 70119-6302 | 2006-04-22 |
| 1932107505 | Glenn M Johnson | Specialist | 2820 Canal St, New Orleans, LA 70119-6302 | 2005-07-08 |
| 1144228768 | Richard K Mautner | Specialist | 2820 Canal St, Fl 1, New Orleans, LA 70119-6302 | 2005-07-08 |
| 1124024054 | William B Smith | Specialist | 2820 Canal St, Fl 1, New Orleans, LA 70119-6302 | 2005-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942863337 | Big Easy Podiatry LLC | Specialist | 3600 Prytania St Ste 75, New Orleans, LA 70115-3674 | 2019-04-21 |
| 1932633922 | Regina May | Specialist | 4738 Perrier St, New Orleans, LA 70115-3922 | 2017-04-17 |
| 1689115123 | Lindey Robinson | Specialist | 11412 Maxine Dr, New Orleans, LA 70128-3460 | 2017-03-16 |
| 1053852624 | Richard Lester Strub | Specialist | 529 Esplanade Ave, New Orleans, LA 70116-2016 | 2017-03-16 |
| 1376996637 | Total Life Wellness | Specialist | 2430 Amelia St, New Orleans, LA 70115-6120 | 2016-07-21 |
| 1407240039 | Rachel Schwenk | Specialist | 1015 Washington Ave Apt C, New Orleans, LA 70130-6213 | 2015-03-20 |
| 1497173967 | Marillac Community Health Centers | Specialist | 100 Warrington Dr., New Orleans, LA 70122 | 2014-04-02 |
| 1609207463 | Cindy Phu | Specialist | 5761 Louis Prima Dr W, New Orleans, LA 70128-2804 | 2013-12-04 |
| 1255760138 | Danielle Bellina | Specialist | 16 Mariners Cv N, New Orleans, LA 70124-1628 | 2013-11-01 |
| 1780926659 | Mario A Calonje | Specialist | 1834 Upperline St, New Orleans, LA 70115-5548 | 2013-03-19 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
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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.