DR. JEFFREY H LOOSE (NPI# 1942298666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942298666 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY H LOOSE |
| Credential | M.D. |
| Practice Address |
1202 S Tyler St Covington LA 70433-2330 |
| Mailing Address |
Po Box 731280 Dallas TX 75373-1280 |
| Practice Telephone | 9858984097 |
| Practice Fax Number | 9858715755 |
| Mailing Telephone | 3188419526 |
| Mailing Fax Number | 3188419551 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2015-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD206515 | LA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD034365E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CAQH PROVIDER ID | 10931337 | 01 |
| LA | 2381288 | 05 |
| Street Address |
1202 S TYLER ST |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475190 | Total Anesthesia Care Stph, LLC | Anesthesiology | 1202 S Tyler St, Covington, LA 70433-2330 | 2005-05-30 |
| 1578163127 | Frances Coe | Pharmacist | 1202 S Tyler St, Covington, LA 70433-2330 | 2020-10-31 |
| 1841838125 | Kelly Crim | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-12-17 |
| 1184260259 | Reghan Recile | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-11-22 |
| 1144864497 | Krista Dooley Dazzo | Physician Assistant | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-10-30 |
| 1205486644 | Karolina Diana Ruthner | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-09-18 |
| 1306300264 | Kimberly F Poussard | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-01-24 |
| 1720508534 | Terry Blais Compton | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-06-22 |
| 1841730330 | Sarah Delery | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-03-02 |
| 1831548445 | Peter T Braud | Family Medicine | 1202 S Tyler St, Covington, LA 70433-2330 | 2016-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972634715 | Southern Pathology, A Professional Medical Corporation | Pathology | 67241 Industry Lane, Covington, LA 70433-8705 | 2007-03-07 |
| 1063508653 | Karen E Sullivan | Pathology | 5126 Hospital Drive, Covington, GA 30014 | 2006-10-04 |
| 1427077148 | Gloria Battle Coker | Pathology | 71250 Hendry Ave, Covington, LA 70433-8849 | 2006-07-19 |
| 1598024986 | Jordan Andrew Roberts | Pathology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2012-05-07 |
| 1396898995 | Kim Sutker Kaye | Pathology | 95 Judge Tanner Blvd, Covington, LA 70433-7500 | 2007-01-19 |
| 1003808700 | Sharon K Tomberlin | Pathology | 1202 S Tyler St, Covington, LA 70433-2330 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265827893 | Cacey William Peters | Pathology | 1430 Tulane Avenue Sl-79, New Orleans, LA 70112 | 2015-03-31 |
| 1679981658 | Crystal Trujillo | Pathology | 4648 I-10 Service Road, Metairie, LA 70001 | 2014-07-23 |
| 1811308455 | Ryan Bradbury Craig | Pathology | 1415 Tulane Ave Fl 2, New Orleans, LA 70112 | 2014-05-16 |
| 1356761977 | Stephanie Collier Moss | Pathology | 5904 Camphor St, Metairie, LA 70003-3634 | 2014-04-22 |
| 1407299076 | Josh Anthony Showalter | Pathology | 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503-2621 | 2013-04-12 |
| 1982964771 | Jack Don Holden | Pathology | 13967 Chenal Rd, Jarreau, LA 70749-3406 | 2012-05-25 |
| 1811296718 | Tong Yang | Pathology | 2306 Lemon St, Metairie, LA 70001-1021 | 2011-03-18 |
| 1699097360 | Alexandria Pathology Laboratory, LLC | Pathology | 3510 Parliament Ct, Alexandria, LA 71303-3135 | 2010-02-23 |
| 1548404841 | Dianne Kovacic | Pathology | 1601 Perdido St Rm 10g-167, Slvhcs Dept of Pathology, New Orleans, LA 70112-1262 | 2009-04-30 |
| 1346484235 | Theresa Jeanne Nuttli | Pathology | 520 Ridgewood Dr, Metairie, LA 70001-6126 | 2009-04-23 |
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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.