PLAZA ORTHOPEDIC & SPORTS MEDICINE CLINIC LLC (NPI# 1922048735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922048735 |
| Entity Type | Organization |
| Organization Name | PLAZA ORTHOPEDIC & SPORTS MEDICINE CLINIC LLC |
| Practice Address |
15781 Professional Plz Hammond LA 70403-1452 |
| Practice Telephone | 9855421533 |
| Practice Fax Number | 9855426713 |
| Mailing Telephone | 9855421533 |
| Mailing Fax Number | 9855426713 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-02-11 |
| Authorized Official Name | JOHN L FAMBROUGH (PHYSICIAN PARTNER) |
| Authorized Official Telephone | 9855421533 |
| Authorized Official Credential | M.D. |
| 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 | 1949256 | 05 |
| Street Address |
15781 PROFESSIONAL PLZ |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508833617 | Lakeshore Hospice Acquisition, LLC | Hospice Care, Community Based | 15781 Professional Plz, Hammond, LA 70403-1452 | 2006-03-07 |
| 1043840176 | Hoh Palliative Care, LLC | Family Medicine | 15781 Professional Plz, Hammond, LA 70403-1452 | 2020-01-16 |
| 1659314623 | John L Fambrough | Specialist | 15781 Professional Plz, Hammond, LA 70403-1452 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| 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 |
|---|---|---|---|---|
| 1699089581 | Gastroenterology Anesthesia LLC | Specialist | 16061 Doctors Blvd Ste A, Hammond, LA 70403-1499 | 2010-08-03 |
| 1861627622 | Susan Butler Brocato | Specialist | 20175 Long Lake Dr, Hammond, LA 70403-0555 | 2009-05-22 |
| 1295972966 | James Hess Ltd, Apmc | Specialist | 2101 Robin Ave Ste 16, Hammond, LA 70403-5774 | 2009-01-16 |
| 1568589802 | Southeastern Medical Center S.c. | Specialist | 4020 S Calumet Ave, Hammond, IN 46320-1129 | 2007-03-23 |
| 1639206568 | Sheryl Ann Jones | Specialist | 45439 Live Oak Dr, Hammond, LA 70401-4526 | 2007-02-27 |
| 1366581084 | Shannan Davis Brown | Specialist | 1232 S Morrison Blvd, Hammond, LA 70403-5702 | 2007-02-06 |
| 1942389986 | North Oaks Internal Medicine | Specialist | 15744 Medical Arts Dr, Hammond, LA 70403-1446 | 2006-11-02 |
| 1174543193 | Kimberly S Williams | Specialist | 42286 Veterans Ave, Hammond, LA 70403-1423 | 2006-07-20 |
| 1871537266 | Brett Joseph Chiasson | Specialist | 1000 J.w. Davis Drive, Hammond, LA 70454 | 2006-06-15 |
| 1992753545 | Eric Damian Griener | Specialist | 17170 S I 12 Service Rd, Hammond, LA 70403-2408 | 2006-05-05 |
| Find all providers in HAMMOND | ||||
Please comment or provide details below to improve the information on PLAZA ORTHOPEDIC & SPORTS MEDICINE CLINIC LLC.
| 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.