SMH PROFESSIONAL SERV AT SMH (NPI# 1942203476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942203476 |
Entity Type | Organization |
Organization Name | SMH PROFESSIONAL SERV AT SMH |
Practice Address |
1001 Gause Blvd Slidell LA 70458-2939 |
Mailing Address |
120 Innwood Dr Covington LA 70433-9123 |
Practice Telephone | 9856432200 |
Mailing Telephone | 9858923225 |
Mailing Fax Number | 9852340628 |
Enumeration Date | 2005-05-30 |
Last Update Date | 2009-09-21 |
Authorized Official Name | BILL DAVIS (CFO) |
Authorized Official Telephone | 9856498866 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1442755 | 05 | |
MS | 09016024 | 05 |
Street Address |
1001 GAUSE BLVD |
City | SLIDELL |
State | LA |
Zip Code | 70458-2939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609879139 | Kraig S De Lanzac | Anesthesiology | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2005-05-30 |
1427680438 | Ernest Terry | Pharmacist | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2020-02-07 |
1700431202 | Ochsner Clinic LLC | Clinic/Center | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2019-08-02 |
1578122180 | Andrea Marie Miller Benefield | Nurse Practitioner | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2019-06-07 |
1396223749 | Abby Marie Moody | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-07-29 |
1003318007 | Laura Janette Pichon | Nurse Practitioner | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2018-03-06 |
1720589690 | Joel Eldon Bilbo | Nurse Anesthetist, Certified Registered | 1001 Gause Blvd, Slidell, LA 70458 | 2018-02-26 |
1467968156 | William Cody Jenkins | Registered Nurse | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2017-12-18 |
1003202128 | Michael Nguyen | Family Medicine | 1001 Gause Blvd, Slidell, LA 70458 | 2015-04-15 |
1144627316 | Jennifer S Stauter | Registered Nurse | 1001 Gause Blvd, Slidell, LA 70458-2939 | 2014-12-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
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Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659639995 | Doctors Medical Center, LLC | Anesthesiology | 3769 Pontchartrain Dr, Suite 1, Slidell, LA 70458-4852 | 2012-04-24 |
1609191212 | Tod Alan Aust | Anesthesiology | 740 Gause Blvd, Slidell, LA 70458-2840 | 2010-04-07 |
1972069961 | Bayou Pain and Spine LLC | Anesthesiology | 310 Gateway Dr Ste B, Slidell, LA 70461-5598 | 2019-02-14 |
1710468103 | Aust Medical LLC | Anesthesiology | 740 Gause Blvd, Slidell, LA 70458-2840 | 2018-08-24 |
1093132938 | Neilson Vuong Tran | Anesthesiology | 105 Medical Center Dr Ste 103, Slidell, LA 70461-5538 | 2014-03-27 |
1881973956 | Thomas Jerome Myers | Anesthesiology | 985 Robert Blvd, Suite 103, Slidell, LA 70458-2063 | 2011-08-08 |
1841450780 | John F Vu | Anesthesiology | 105 Medical Center Dr, Suite # 205, Slidell, LA 70461-5544 | 2008-06-13 |
1356467153 | A. Waring, LLC | Anesthesiology | 105 Medical Center Dr, Suite 305, Slidell, LA 70461-5544 | 2007-03-22 |
1750412946 | Antonio J Waring II | Anesthesiology | 901 Gause Blvd, Slidell, LA 70458-2948 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346871605 | Park Plaza Surgical Specialists LLC | Anesthesiology | 8731 Park Plaza Dr Ste B, Shreveport, LA 71105-5682 | 2020-01-27 |
1114563160 | Richard C Robertson Jr Md LLC | Anesthesiology | 7039 Highway 190 East Service Rd Ste C, Covington, LA 70433-4961 | 2019-11-25 |
1275055618 | Northshore Anesthesia and Pain Associates, LLC | Anesthesiology | 4324 Veterans Memorial Blvd # 101, Metairie, LA 70006-5445 | 2017-07-07 |
1811263296 | Alexander F Bowen | Anesthesiology | 2912 Brookwood St, Gretna, LA 70056-7830 | 2012-03-29 |
1366673626 | Barry Francis Faust Jr. | Anesthesiology | 4500 Clearview Pkwy Ste 200, Metairie, LA 70006-2351 | 2009-08-05 |
1295985000 | Southern Pain & Anesthesia Consultants, LLC | Anesthesiology | 64026 Highway 434, Suite 230, Lacombe, LA 70445-5412 | 2008-09-29 |
1265616130 | Musculoskeletal Institute of Louisiana, LLC | Anesthesiology | 2005 Landry Dr, Bossier City, LA 71111 | 2007-12-27 |
1851582795 | Eric Inman Royster | Anesthesiology | 2801 Napoleon Ave, New Orleans, LA 70115-6915 | 2007-08-06 |
1346377595 | Wayne J Celestine IIi | Anesthesiology | 36 Seven Oaks, Marrero, LA 70072 | 2007-02-27 |
1306991864 | Narinder Gupta | Anesthesiology | 120 Terry Pkwy, Terrytown, LA 70056-2523 | 2007-01-24 |
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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.