MR. MARK D. CALLENDER (NPI# 1942406616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942406616 |
Entity Type | Individual |
Full Name | MR. MARK D. CALLENDER |
Credential | P.A. |
Practice Address |
2104 Gause Blvd W Ste. A Slidell LA 70460-4130 |
Practice Telephone | 9856434575 |
Practice Fax Number | 9856434513 |
Mailing Telephone | 9856434575 |
Mailing Fax Number | 9856434513 |
Enumeration Date | 2007-06-21 |
Last Update Date | 2015-10-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | P.A.A10540 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2104 GAUSE BLVD W STE. A |
City | SLIDELL |
State | LA |
Zip Code | 70460-4130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487643094 | Robert Craig Laderer | Family Medicine | 2104 Gause Blvd W, Slidell, LA 70460-4118 | 2005-10-17 |
1003128463 | Joel E Perdomo | General Practice | 2104 Gause Blvd W, Suitea, Slidell, LA 70460-4130 | 2010-07-13 |
1922322940 | Thomas J Orgeron | General Practice | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2010-03-19 |
1821285974 | E. M. Dimitri, D.o. Pmc | Dermatology | 2104 Gause Blvd W, Suite A, Slidell, LA 70460-4130 | 2007-10-02 |
1891989380 | Jorge L Cruz | General Practice | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2007-08-28 |
1770788341 | Belinda Hutchinson Janeski | Nurse Practitioner | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2007-06-15 |
1285700732 | Elizabeth M Dimitri | Dermatology | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2006-11-27 |
1629095468 | Mehdi Mosadegh | Dermatology | 2104 Gause Blvd W, Ste. A, Slidell, LA 70460-4130 | 2006-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
1336600758 | Alex Duc Pham | Student in an Organized Health Care Education/Training Program | 210 Tiara Dr., Slidell, LA 70460 | 2019-03-28 |
1992163851 | Teem Economic Research & Business Community Development, Inc. | Case Management | 36190 Hwy 433, Slidell, LA 70460 | 2016-02-08 |
1548607674 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 2170 Gause Boulevard, Suite 133, Slidell, LA 70460 | 2013-05-30 |
1164764478 | Carrie Dale Howard | Speech-Language Pathologist | 305 Royal Drive, Slidell, LA 70460 | 2013-03-25 |
1427326446 | M L D Institute of Louisiana, LLC | Clinic/Center | 1274 Saint Tammany Ave, Slidell, LA 70460 | 2011-12-05 |
1497039069 | Royalty Home Care Service | Home Health | 328 Queen Anne Dr, Slidell, LA 70460 | 2011-09-30 |
1154616134 | James Sibley Holmes | Obstetrics & Gynecology | 107 Mary Ellen Dr, Slidell, LA 70460 | 2011-06-17 |
1700175734 | Timothy James Moten | Pharmacist | 114 Gause, Slidell, LA 70460 | 2011-03-30 |
1205064599 | Ochsner Clinic LLC | Durable Medical Equipment & Medical Supplies | 2104 Highway 190 W, Slidell, LA 70460 | 2009-06-25 |
Find all providers in zip 70460 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
1073923140 | Kristi Ramey Kennon | Physician Assistant | 2750 Gause Blvd E Ste 101, Slidell, LA 70461 | 2014-04-29 |
1285601740 | Barry L. Frederick | Physician Assistant | 1150 Robert Blvd Ste 240, Slidell, LA 70458-2005 | 2006-03-03 |
1295266419 | Andrea Juneau | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2017-03-21 |
1568810521 | Nicholas Theodore John Pandis | Physician Assistant | 901 Gause Blvd, 2nd Floor, Slidell, LA 70458-2948 | 2016-06-01 |
1306291455 | Paige Marler | Physician Assistant | 1051 Gause Blvd, Suite 400, Slidell, LA 70458-2951 | 2016-04-26 |
1295158418 | Slidell Emergency Group LLC | Physician Assistant | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2014-01-23 |
1801143599 | Laura M Haar | Physician Assistant | 2750 Gause Blvd E, Slidell, LA 70461-4149 | 2012-08-13 |
1700075389 | Matthew G. Gabler | Physician Assistant | 901 Gause Blvd Fl 2, Slidell, LA 70458-2937 | 2007-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
1134728769 | Hannah Michael | Physician Assistant | 8249 Vincent Rd, Denham Springs, LA 70726-6279 | 2020-10-24 |
1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
1669089389 | Emily Marie Bruce | Physician Assistant | 112 Peytral Dr, Raceland, LA 70394-2016 | 2020-09-27 |
1740891431 | Haley Webre | Physician Assistant | 110 Avery St, Luling, LA 70070-2180 | 2020-08-14 |
1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
1629693502 | Laura Rose Murray | Physician Assistant | 330 Julia St Apt 308, New Orleans, LA 70130-3682 | 2020-06-16 |
1639793714 | Lillian Madin | Physician Assistant | 3312 Dumaine St, New Orleans, LA 70119-3911 | 2020-06-03 |
1043832579 | Sarah Hassien Daigle | Physician Assistant | 324 Madison Crossing Dr, Sulphur, LA 70665-8791 | 2020-05-06 |
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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.