ADULT MEDICINE AND DIAGNOSTIC CENTER (NPI# 1902173271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902173271 |
| Entity Type | Organization |
| Organization Name | ADULT MEDICINE AND DIAGNOSTIC CENTER |
| Practice Address |
2211 S Burnside Ave Ste 4 Gonzales LA 70737-4634 |
| Practice Telephone | 2256471947 |
| Practice Fax Number | 2256443943 |
| Mailing Telephone | 2256471947 |
| Mailing Fax Number | 2256443943 |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | MRS. HANNA KALINOWSKA VAZQUEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 2256471947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 022083 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1495859 | 05 |
| Street Address |
2211 S BURNSIDE AVE STE 4 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599089 | Elite Healthcare Providers | Clinic/Center | 39067 Prairie North Dr, Gonzales, LA 70737-9506 | 2020-08-18 |
| 1164997680 | On-site Medical Solutions, LLC | Clinic/Center | 37534 Highway 30 Ste A, Gonzales, LA 70737-8098 | 2018-10-11 |
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| 1548879034 | Mercy Medical Health Center | Clinic/Center | 4629 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1699383026 | New Orleans Women's Wellness LLC | Clinic/Center | 535 S Galvez St, New Orleans, LA 70119-7011 | 2020-07-22 |
| 1992322010 | Tyra Cole | Clinic/Center | 405 Gretna Blvd Ste 112, Gretna, LA 70053-4945 | 2020-07-06 |
| 1124645130 | Bayou Telemedicine LLC | Clinic/Center | 1703 Arizona Ave, Monroe, LA 71202-3632 | 2020-06-26 |
| 1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
| 1245853803 | Alexandria Primary Care Clinic | Clinic/Center | 224 Pecan Park Ave Rm B1, Alexandria, LA 71303-3308 | 2020-05-18 |
| 1326676479 | Royal Health & Wellness Clinic LLC | Clinic/Center | 108 Riverbirch Dr, Lafayette, LA 70508-1819 | 2020-04-01 |
| 1215560974 | Calcasieu Cameron Hospital Service District | Clinic/Center | 703 Cypress St Ste A, Sulphur, LA 70663-5053 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
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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.