LAKESIDE PHYSICIAN ASSOCIATES, LLC (NPI# 1942391826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942391826 |
| Entity Type | Organization |
| Organization Name | LAKESIDE PHYSICIAN ASSOCIATES, LLC |
| Practice Address |
1415 Tulane Ave New Orleans LA 70112-2600 |
| Mailing Address |
Po Box 54477 New Orleans LA 70154-4477 |
| Practice Telephone | 5043056251 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MOHAMMAD NAEEM (SOLE PROPRIETOR) |
| Authorized Official Telephone | 5047806453 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
10199R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1446645 | 05 |
| Street Address |
1415 TULANE AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70112-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325066 | Cynthia Crocker Benz | Clinical Nurse Specialist | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2005-06-08 |
| 1164022141 | Destry Quade Patterson | Physical Therapy Assistant | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-10-28 |
| 1336749316 | Caroline Leigh Nelson | Physical Therapy Assistant | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-10-28 |
| 1689280893 | Colleen Mcconnell | Dietitian, Registered | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-09-22 |
| 1184243925 | Caleb Weber Fligor | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-04-12 |
| 1033747076 | Deven Emmanuel Gulick | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-27 |
| 1972131894 | Evan Leonard O'keefe | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-27 |
| 1114554474 | Erica Mascarenhas | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-26 |
| 1538796768 | Blake Daynes Winston | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-26 |
| 1942837026 | Allan Parr IIi | Student in an Organized Health Care Education/Training Program | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867306 | Suayp Oygen | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave., #8545 Suite 7209, New Orleans, LA 70112 | 2020-06-25 |
| 1073132692 | Bianca Ngwe Ndeso Fomukong | Student in an Organized Health Care Education/Training Program | 450a South Claiborne, Room 521, New Orleans, LA 70112 | 2020-04-14 |
| 1184253510 | Arya Mohammad Reza Loghmani | Student in an Organized Health Care Education/Training Program | 1542 Tulane Avenue, Box T4m-2, New Orleans, LA 70112 | 2020-04-07 |
| 1447889365 | Kinnah Menta Hughes | Student in an Organized Health Care Education/Training Program | 1900 Gravier Street, New Orlens, LA 70112 | 2020-04-02 |
| 1396373924 | Carson Mills | Student in an Organized Health Care Education/Training Program | Tulane University School of Medicine, Dept of Surgery, 1430 Tulane Ave., Mail Code 8622, New Orleans, LA 70112 | 2020-03-30 |
| 1417585134 | Pate Duddleston | Student in an Organized Health Care Education/Training Program | 131 S. Robertson St., Ste. 1300 Mail Code 8047, New Orleans, LA 70112 | 2020-03-29 |
| 1467090084 | Camilla Henderson | Technician, Pathology | 1415 Tulane Hospital, New Orleans, LA 70112 | 2019-12-13 |
| 1942850615 | Shannon R. Bierma | Psychologist | 1542 Tulane Ave, Department of Psychiatry, New Orleans, LA 70112 | 2019-09-16 |
| 1326608035 | Julia Obehi Aigbogun | Student in an Organized Health Care Education/Training Program | Tulane Hospital and Clinics 1415 Tulane Avenue, New Orleans, LA 70112 | 2019-06-14 |
| 1477016970 | Nicole Marie Crozat | Student in an Organized Health Care Education/Training Program | Dept of Psych, 1542 Tulane Avenue, New Orleans, LA 70112 | 2019-04-11 |
| Find all providers in zip 70112 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891063350 | Sherif Sakla | Emergency Medicine | 1100 Poydras St, Suite 2905, New Orleans, LA 70163-1101 | 2011-12-12 |
| 1245426774 | Patrick Michael Dennis | Emergency Medicine | 826 Harrison Ave, Suite A, New Orleans, LA 70124 | 2007-09-19 |
| 1548335011 | Basil Harris Selden Jr. | Emergency Medicine | 1514 Jefferson Highway, New Orleans, LA 70121 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639662539 | Doctor By Video,llc | Emergency Medicine | 1700 Central Blvd, Harvey, LA 70058-3288 | 2018-06-14 |
| 1780028175 | Wayne Thomas Robichaux | Emergency Medicine | 12 Muirfield Dr, La Place, LA 70068-1632 | 2013-04-29 |
| 1639474257 | C&m Medical Services-st Elizabeth LLC | Emergency Medicine | 1125 West Louisiana Highway 30, Gonzales, LA 70737 | 2011-01-12 |
| 1972705333 | Isaac Freeborn | Emergency Medicine | 1507 E Whatley Rd, Oakdale, LA 71463-2318 | 2007-06-05 |
| 1609097898 | Wesley Blake Vanderlan | Emergency Medicine | 400 S Chenier Dr, Madisonville, LA 70447-9389 | 2007-05-02 |
| 1801945936 | Louis Christopher Benjamin IIi | Emergency Medicine | 18961 Santa Maria Dr, Baton Rouge, LA 70809-6765 | 2007-01-09 |
| 1134235989 | Victor E Tuckler | Emergency Medicine | 639 Gelpi Ave, Jefferson, LA 70121-1527 | 2006-08-22 |
| 1710903059 | C & M Medical Services, Inc. | Emergency Medicine | 2450 Severn Ave Ste 205, Metairie, LA 70001 | 2006-07-13 |
| 1720014392 | Huey August Seyfarth Jr. | Emergency Medicine | 1424 Sherwood Forest Blvd, Baton Rouge, LA 70815-5332 | 2006-06-24 |
| 1073554010 | Gina Luisa Greco-angelopoulos | Emergency Medicine | 2640 Country Club Rd, Suite 400, Lake Charles, LA 70605-5912 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70112 |
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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.